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Alaska rates for HCPCS L8041

Midfacial Prosthesis Provided By A Non-Physician

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,491.02 / $3,491.02 / $3,491.02
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,861.13 / $2,861.13 / $2,861.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,431.96 / $2,861.13 / $2,946.96
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,036.91 / $1,036.91 / $1,036.91
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,514.95 / $3,597.99 / $3,986.69
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,036.91 / $1,036.91 / $2,861.13
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,431.96 / $2,946.96 / $4,161.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,988.91 / $1,988.91 / $3,812.08