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Idaho rates for HCPCS L8041

Midfacial prosthesis, provided by a nonphysician

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,159.69 / $2,985.00 / $3,094.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,333.48 / $2,861.13 / $2,861.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,431.96 / $2,431.96 / $2,946.96
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,036.91 / $2,665.91 / $3,551.00
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,420.40 / $3,373.39 / $3,551.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $2,620.63 / $3,120.99
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,109.37 / $3,467.77 / $5,201.66
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,485.69 / $2,485.69 / $3,728.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,485.04 / $1,606.17 / $2,547.37