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California rates for HCPCS L8043

Upper facial prosthesis, provided by a nonphysician

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,433.34 / $2,433.34 / $13,508.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,990.74 / $2,433.34 / $13,508.30
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,847.82 / $6,757.80 / $14,861.63
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,160.46 / $2,478.96 / $4,221.47
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.00 / $5,542.92 / $9,898.08
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $6,212.04 / $14,469.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,189.80 / $3,600.52 / $3,815.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,060.44 / $3,060.44 / $3,708.54
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,745.49 / $4,681.85 / $5,618.23
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,809.12 / $3,277.30 / $7,116.43
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,214.64 / $22,238.84 / $22,238.84
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23,846.16 / $23,846.16 / $37,259.62
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,994.90 / $8,994.90 / $8,994.90
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,304.88 / $4,066.78 / $4,681.85
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,060.44 / $3,600.52 / $4,253.29
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,836.83 / $8,836.83 / $8,836.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,902.60 / $2,220.08 / $4,556.62