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Arizona rates for HCPCS L8041

Midfacial prosthesis, provided by a nonphysician

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,581.94 / $1,674.18 / $2,631.97
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$976.74 / $3,528.49 / $6,379.36
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,441.85 / $3,255.80 / $4,436.03
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 / $2,431.96 / $4,181.63
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,036.91 / $2,485.87 / $16,835.74
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,451.68 / $1,606.17 / $2,475.06
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,451.68 / $1,606.17 / $2,419.46