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Maryland rates for HCPCS L8041

Midfacial prosthesis, provided by a nonphysician

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,489.75 / $1,775.02 / $2,839.11
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,901.81 / $1,901.81 / $2,474.51
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,861.13 / $2,861.13 / $2,861.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,431.96 / $2,431.96 / $2,861.13
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,533.90 / $3,619.86 / $5,212.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,606.17 / $1,814.02 / $2,863.68
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,948.54 / $1,948.54 / $2,533.90