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Missouri rates for HCPCS L8041

Midfacial Prosthesis Provided By A Non-Physician

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,518.48 / $2,246.08 / $2,318.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,518.48 / $1,785.30 / $3,163.49
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,323.64 / $3,489.82 / $15,341.92
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,653.95 / $1,970.30 / $2,689.95
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 / $2,946.96
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,545.33 / $2,678.57 / $16,835.74
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,338.48 / $1,799.52 / $3,186.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,265.40 / $1,658.12 / $2,475.06