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Other Maxillofacial Prosthesis, Provided by a Nonphysician

Pennsylvania rates for HCPCS L8048

Unspecified maxillofacial prosthesis, by report, provided by a nonphysician

Rates data updated October 2026.

How much rates vary

Facilitymedian $1,047 · 10th to 90th $1,047 to $5,012Professionalmedian $891 · 10th to 90th $891 to $58,884
$1K$2K$5K$10K$20K$50Kfacility $1,047professional $891

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Capital Blue Cross
Setting
Facility
Modifier
None
Typical Low
$4,265.80
Median
$5,011.87
Typical High
$79,432.82
Capital Blue Cross
Setting
Professional
Modifier
None
Typical Low
$58,884.37
Median
$58,884.37
Typical High
$58,884.37
Cigna
Setting
Facility
Modifier
None
Typical Low
$1,047.13
Median
$1,047.13
Typical High
$1,047.13
Cigna
Setting
Professional
Modifier
None
Typical Low
$891.25
Median
$891.25
Typical High
$1,047.13
1 more rate with less common billing modifiers

A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.

Insurance Carrier
Capital Blue Cross
Setting
Professional
Modifier
50 · Both sides
Typical Low
$58,884.37
Median
$58,884.37
Typical High
$58,884.37