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Virginia rates for HCPCS 00102

Anesthesia Cleft Lip Involving Plastic Repair

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.00 / $405.72 / $604.45
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $39.00 / $560.28
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$475.30 / $475.30 / $535.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$294.00 / $420.00 / $546.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$294.00 / $497.00 / $630.00
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,393.10 / $2,490.00 / $3,184.32
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$448.00 / $476.00 / $553.00
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.60 / $64.00 / $92.88
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.57 / $64.00 / $93.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.99 / $60.00 / $82.00