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Pennsylvania rates for HCPCS L8048

Unspecified maxillofacial prosthesis, by report, provided by a nonphysician

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.00 / $630.00 / $630.00
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,000.00 / $8,639.91 / $79,506.39
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64,999.35 / $64,999.35 / $64,999.35
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
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.00 / $630.00 / $630.00
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,051.59 / $1,051.59 / $1,051.59
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$893.86 / $893.86 / $1,051.59