go back

Massachusetts rates for HCPCS L8041

Midfacial prosthesis, provided by a nonphysician

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,659.59 / $1,659.59 / $1,659.59
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,513.56 / $1,778.28 / $3,467.37
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,630.78 / $3,715.35 / $17,782.79
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,621.81 / $2,630.27 / $3,890.45
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,265.80 / $5,011.87 / $6,606.93
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,511.89 / $3,467.37 / $3,467.37
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,819.70 / $2,884.03 / $2,884.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,454.71 / $2,454.71 / $2,884.03
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.18 / $4,897.79 / $9,772.37
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,311.31 / $3,311.31 / $5,011.87
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,630.78 / $3,715.35 / $17,782.79
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,659.59 / $2,754.23 / $4,265.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.45 / $1,949.84 / $4,365.16
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,513.56 / $2,398.83 / $3,311.31