go back

Iowa rates for HCPCS L8041

Midfacial prosthesis, provided by a nonphysician

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,454.71 / $2,570.40 / $3,019.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,513.56 / $1,862.09 / $3,019.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,884.03 / $2,884.03 / $3,715.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,884.03 / $4,168.69 / $5,248.07
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,162.28 / $3,890.45 / $4,570.88
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,290.87 / $4,265.80 / $16,982.44
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,621.81 / $2,398.83 / $6,918.31
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,630.78 / $3,801.89 / $8,709.64
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,715.35 / $3,715.35 / $3,715.35
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,715.35 / $5,623.41 / $5,623.41
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$851.14 / $2,238.72 / $5,248.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,621.81 / $1,778.28 / $3,019.95
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,570.40 / $3,235.94 / $3,235.94