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Hawaii rates for HCPCS L8041

Midfacial prosthesis, provided by a nonphysician

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,450.74 / $1,450.74 / $1,450.74
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,032.28 / $3,032.28 / $3,032.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,861.13 / $2,861.13 / $4,198.71
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,817.01 / $3,996.87 / $3,996.87
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,290.21 / $3,817.01 / $5,343.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,896.32 / $3,032.28 / $4,198.71
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,074.74 / $3,180.12 / $3,633.09