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Minnesota rates for HCPCS L8046

Partial facial prosthesis, provided by a nonphysician

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,715.77 / $2,715.77 / $2,715.77
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,459.48 / $2,548.40 / $2,715.77
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,777.49 / $3,242.33 / $4,514.85
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,593.86 / $3,080.21 / $3,242.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,808.29 / $10,004.10 / $27,785.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,759.00 / $3,984.54 / $4,773.93
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,939.31 / $9,598.44 / $21,878.38
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,759.00 / $3,759.00 / $3,868.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$960.02 / $3,242.33 / $15,133.20
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$962.50 / $1,612.18 / $3,255.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$962.50 / $1,615.24 / $3,566.56