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Maine rates for HCPCS L8043

Upper facial prosthesis, provided by a nonphysician

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,090.01 / $3,221.64 / $3,221.64
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,254.37 / $5,511.93 / $10,217.39
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,478.96 / $2,585.42 / $3,591.18
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 / $3,060.44 / $3,600.52
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,872.92 / $3,872.92 / $3,872.92
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,693.39 / $3,221.64 / $3,221.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,590.93 / $2,386.40 / $5,487.99