go back

Idaho rates for HCPCS 00102

Anesthesia for procedures involving plastic repair of cleft lip

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$436.52 / $436.52 / $436.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $50.12 / $436.52
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.03 / $407.38 / $416.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.00 / $363.08 / $489.78
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$436.52 / $2,089.30 / $5,128.61
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.74 / $398.11 / $616.60
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $114.82
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.08 / $407.38 / $489.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.02 / $54.95 / $74.13