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Indiana rates for HCPCS L8046

Partial facial prosthesis, provided by a nonphysician

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,543.05 / $1,543.05 / $3,242.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,543.05 / $1,573.91 / $1,609.27
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,561.44 / $2,901.89 / $3,242.33
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,543.19 / $1,738.10 / $2,398.57
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,296.95 / $3,080.20 / $4,377.14
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,361.80 / $3,234.21 / $4,158.27
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,808.29 / $1,808.29 / $3,242.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,537.05 / $1,537.05 / $3,326.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$962.50 / $1,617.56 / $2,291.55