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North Carolina rates for HCPCS L8041

Midfacial prosthesis, provided by a nonphysician

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,631.97 / $2,631.97 / $5,341.53
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,616.54 / $2,631.97 / $2,631.97
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,835.17 / $3,402.20 / $6,459.94
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,461.92 / $2,652.16 / $2,652.17
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 / $2,861.13 / $4,181.63
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,036.91 / $2,631.97 / $3,982.23
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,978.00 / $1,978.00 / $2,481.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,737.30 / $4,737.30 / $7,283.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,355.41 / $1,764.18 / $2,558.06
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,059.86 / $17,671.90 / $17,671.90
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18,949.15 / $18,949.15 / $29,608.05