go back

Nebraska rates for HCPCS L8043

Upper facial prosthesis, provided by a nonphysician

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,691.53 / $2,691.53 / $2,691.53
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,137.96 / $2,691.53 / $20,417.38
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,715.35 / $4,073.80 / $4,073.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,630.78 / $3,630.78 / $4,677.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,630.78 / $5,248.07 / $7,762.47
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,691.53 / $4,570.88 / $21,379.62
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,380.38 / $2,691.53 / $4,365.16
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,570.88 / $4,570.88 / $10,471.29
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,677.35 / $4,677.35 / $4,677.35
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,754.40 / $10,471.29 / $10,471.29
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,148.15 / $2,754.23 / $3,311.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,584.89 / $2,089.30 / $3,311.31