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Vermont rates for HCPCS L8041

Midfacial prosthesis, provided by a nonphysician

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,854.90 / $1,854.90 / $2,140.27
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,793.77 / $2,861.13 / $2,861.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,004.96 / $2,431.96 / $2,946.96
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,793.77 / $2,861.13 / $2,861.13
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,004.96 / $2,861.13 / $2,946.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,264.22 / $2,420.00 / $4,394.26