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Idaho rates for HCPCS L8043

Upper facial prosthesis, provided by a nonphysician

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,717.79 / $3,756.36 / $3,894.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,936.53 / $3,600.52 / $3,600.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,060.44 / $3,060.44 / $3,708.54
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,304.88 / $3,354.83 / $4,468.60
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,787.45 / $4,245.18 / $4,468.60
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $3,297.83 / $3,927.49
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,912.87 / $4,363.88 / $6,545.82
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,128.03 / $3,128.03 / $4,692.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,868.81 / $2,021.25 / $3,205.69