go back

Maine rates for HCPCS 00172

Anesthesia for intraoral procedures, including biopsy; repair of cleft palate

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $44.67 / $741.31
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.84 / $436.52 / $630.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.03 / $363.08 / $851.14
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.71 / $60.26 / $75.86
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.90 / $489.78 / $724.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.77 / $60.26 / $81.28