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Massachusetts rates for HCPCS L8043

Upper facial prosthesis, provided by a nonphysician

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,090.01 / $2,090.01 / $2,090.01
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,090.01 / $2,090.01 / $3,264.43
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,914.31 / $9,214.64 / $22,238.84
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,056.67 / $3,114.68 / $4,671.31
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,222.95 / $6,176.88 / $7,954.65
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,132.23 / $4,398.64 / $4,398.64
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,267.94 / $3,600.52 / $3,600.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,060.44 / $3,600.52 / $5,262.38
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.43 / $4,618.00 / $9,239.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,872.92 / $3,872.92 / $4,066.57
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,214.64 / $22,238.84 / $22,238.84
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,868.52 / $2,556.92 / $4,671.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,868.52 / $2,556.92 / $4,671.31