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Vermont rates for HCPCS 00102

Anesthesia for procedures involving plastic repair of cleft lip

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.86 / $47.86 / $47.86
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $41.69 / $616.60
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.74 / $346.74 / $389.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.88 / $363.08 / $489.78
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.23 / $316.23 / $316.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.12 / $54.95 / $87.10