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Virginia rates for HCPCS L8043

Upper facial prosthesis, provided by a nonphysician

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,381.84 / $2,402.51 / $2,402.51
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,074.71 / $2,402.51 / $2,402.51
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,555.38 / $4,555.38 / $4,837.81
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,478.96 / $2,478.96 / $3,150.38
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,393.31 / $2,393.31 / $2,393.31
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 / $4,099.84 / $5,466.46
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,304.88 / $2,801.63 / $5,089.85
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,489.00 / $5,983.51 / $7,587.79
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,266.20 / $3,029.33 / $4,588.35
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,314.90 / $3,123.24 / $4,829.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,054.03 / $2,272.63 / $3,219.55