go back

California rates for HCPCS L8049

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

Facilitymedian $24 · 10th–90th $19$590%20%40%10th90th$24Professionalmedian $28 · 10th–90th $13$500%20%40%10th90th$28$0.0$0.2$2.0$20.0$200.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$50.12 / $50.12 / $50.12
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.18 / $28.18 / $50.12
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$18.62 / $23.99 / $58.88
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.12 / $25.12 / $25.12
Blue Shield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$39.81 / $39.81 / $39.81
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.59 / $12.59 / $12.59
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.72 / $10.72 / $12.59
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$39.81 / $630.96 / $831.76
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100.00 / $100.00 / $100.00
Lucent Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$42.66 / $42.66 / $42.66
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.91 / $22.91 / $22.91
Optum
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$54.95 / $54.95 / $70.79
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$28.18 / $42.66 / $67.61
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.72 / $10.72 / $12.59
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.19 / $17.78 / $21.88
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.96 / $13.18 / $23.44