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Virginia rates for HCPCS L8041

Midfacial prosthesis, provided by a nonphysician

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,892.74 / $1,909.12 / $1,909.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,648.67 / $1,909.12 / $1,909.12
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,619.86 / $3,619.86 / $3,844.29
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,970.30 / $1,970.30 / $2,503.42
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,901.81 / $1,901.81 / $2,474.51
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 / $2,861.13
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,533.90 / $3,257.87 / $4,343.83
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,036.91 / $2,226.27 / $4,044.58
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,978.00 / $4,754.71 / $6,029.52
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,006.18 / $2,407.19 / $3,646.06
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,085.73 / $2,481.90 / $3,903.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,632.20 / $1,805.91 / $2,590.80