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Arizona rates for HCPCS L8043

Upper facial prosthesis, provided by a nonphysician

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,990.74 / $2,106.84 / $3,312.12
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,123.65 / $4,059.18 / $7,338.83
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,809.12 / $3,745.49 / $5,103.22
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,600.52 / $3,600.52 / $3,600.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,060.44 / $3,060.44 / $5,262.38
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,304.88 / $3,128.29 / $21,186.55
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,826.83 / $2,021.25 / $3,114.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,826.83 / $2,021.25 / $3,044.72