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Arizona rates for HCPCS L8048

Unspecified maxillofacial prosthesis, by report, provided by a nonphysician

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,677.73 / $7,677.73 / $7,677.73
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$567.12 / $2,048.71 / $3,704.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,417.80 / $1,890.40 / $2,575.67
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,051.59 / $1,051.59 / $1,051.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$893.86 / $893.86 / $1,051.59
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $630.00