go back

West Virginia rates for HCPCS L8041

Midfacial prosthesis, provided by a nonphysician

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,775.02 / $1,775.02 / $1,775.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,775.02 / $1,775.02 / $1,909.12
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,587.14 / $2,895.89 / $5,429.79
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$990.14 / $2,352.91 / $3,257.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,861.13 / $2,861.13 / $4,144.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,431.96 / $2,861.13 / $17,339.37
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,805.91 / $2,243.67 / $3,009.85