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Maryland rates for HCPCS L8042

Orbital prosthesis, provided by a nonphysician

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,673.87 / $2,005.94 / $3,554.46
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,136.86 / $2,136.86 / $2,780.34
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,214.74 / $3,214.74 / $3,214.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,732.53 / $2,732.53 / $3,214.74
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,847.08 / $4,067.25 / $5,856.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,832.10 / $2,098.91 / $3,217.61
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,188.92 / $2,188.92 / $2,847.08