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Virginia rates for HCPCS 00102

Anesthesia for procedures involving plastic repair of cleft lip

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.20 / $426.58 / $616.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $47.86 / $645.65
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $478.63 / $537.03
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.16 / $4.90 / $5.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.15 / $407.38 / $537.03
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.81 / $501.19 / $588.84
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,041.74 / $2,511.89 / $4,786.30
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.44 / $64.57 / $100.00
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.44 / $64.57 / $102.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.67 / $60.26 / $83.18