go back

Iowa rates for HCPCS L8046

Partial facial prosthesis, provided by a nonphysician

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,222.19 / $2,715.77 / $2,715.77
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,324.12 / $1,738.10 / $2,715.77
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,808.29 / $1,808.29 / $3,286.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,032.23 / $3,759.00 / $4,698.75
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,501.10 / $2,987.50 / $3,242.33
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,905.18 / $3,940.59 / $15,133.20
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,443.74 / $1,924.99 / $4,215.03
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,276.64 / $3,286.25 / $6,279.94
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,691.46 / $3,938.60 / $7,767.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,443.74 / $1,696.74 / $3,915.36
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,927.75 / $2,927.75 / $2,927.75
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,312.92 / $2,927.75 / $2,927.75