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Minnesota rates for HCPCS L8041

Midfacial prosthesis, provided by a nonphysician

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,019.95 / $3,019.95 / $3,019.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,548.82 / $1,949.84 / $3,019.95
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,548.13 / $3,630.78 / $5,248.07
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,762.47 / $13,489.63 / $32,359.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,168.69 / $4,786.30 / $5,370.32
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,471.29 / $13,489.63 / $25,703.96
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,168.69 / $4,168.69 / $5,623.41
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,737.80 / $3,630.78 / $6,456.54
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,071.52 / $1,621.81 / $3,630.78
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.23 / $1,995.26 / $3,715.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,071.52 / $1,737.80 / $3,890.45