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Connecticut rates for HCPCS L8041

Midfacial prosthesis, provided by a nonphysician

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,862.09 / $1,862.09 / $1,862.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,513.56 / $1,862.09 / $3,019.95
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,019.95 / $3,890.45 / $4,677.35
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,949.84 / $2,041.74 / $2,137.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,884.03 / $2,884.03 / $2,884.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,454.71 / $2,454.71 / $2,454.71
ConnectiCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,454.71 / $2,454.71 / $2,454.71
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,454.71 / $2,754.23 / $3,801.89
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$524.81 / $1,258.93 / $2,137.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,445.44 / $1,905.46 / $2,511.89