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Nebraska rates for HCPCS L8041

Midfacial prosthesis, provided by a nonphysician

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,119.54 / $2,119.54 / $2,119.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,119.54 / $2,119.54 / $2,499.16
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,921.17 / $3,213.28 / $3,245.73
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,861.13 / $3,656.00 / $3,656.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,861.13 / $3,656.00 / $5,637.62
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,807.16 / $3,638.01 / $16,835.74
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,265.40 / $2,122.46 / $2,763.54
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,645.31 / $3,656.00 / $6,986.53
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,310.22 / $4,381.75 / $8,309.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,265.40 / $1,914.99 / $2,475.06