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Maryland rates for HCPCS L8043

Upper facial prosthesis, provided by a nonphysician

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,874.76 / $2,233.76 / $3,572.76
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,393.31 / $2,393.31 / $2,552.86
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 / $3,600.52
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,188.77 / $4,555.38 / $6,559.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,021.25 / $2,350.80 / $3,603.76
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,451.59 / $2,451.59 / $3,188.77