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Missouri rates for HCPCS L8043

Upper facial prosthesis, provided by a nonphysician

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,910.88 / $2,826.52 / $2,917.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,910.88 / $2,246.67 / $3,981.01
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,182.55 / $4,391.68 / $19,306.65
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,081.38 / $2,478.96 / $3,385.43
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 / $3,708.54
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,944.68 / $3,370.79 / $21,186.55
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,684.38 / $2,264.57 / $4,009.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,592.40 / $2,102.46 / $3,114.68