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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
$1,548.82 / $1,905.46 / $3,019.95
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,905.46 / $1,905.46 / $2,511.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,884.03 / $2,884.03 / $2,884.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,454.71 / $2,454.71 / $2,884.03
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,570.40 / $3,715.35 / $5,495.41
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$954.99 / $2,238.72 / $2,454.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,621.81 / $1,862.09 / $2,884.03
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,949.84 / $1,949.84 / $3,090.30