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Maine rates for HCPCS L8041

Midfacial prosthesis, provided by a nonphysician

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,660.81 / $2,560.04 / $2,560.04
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,380.70 / $4,380.01 / $8,119.15
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,970.30 / $2,054.92 / $2,853.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,802.21 / $2,861.13 / $2,861.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,431.96 / $2,431.96 / $2,861.13
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,077.57 / $3,077.57 / $3,077.57
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,140.27 / $2,560.04 / $2,560.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,264.22 / $2,118.48 / $4,360.97