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Arizona rates for HCPCS L8049

Repair or modification of maxillofacial prosthesis, labor component, 15 minute increments, provided by a nonphysician

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.36 / $55.00 / $55.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.80 / $46.24 / $83.60
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.60 / $12.80 / $17.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.60 / $12.60 / $12.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.71 / $10.71 / $12.60
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.36 / $30.54 / $78.65
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.25 / $13.25 / $22.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.25 / $13.25 / $22.08