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Connecticut rates for HCPCS L8049

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.54 / $30.54 / $30.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.82 / $28.36 / $30.54
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.00 / $25.00 / $25.00
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
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,900.00 / $3,900.00 / $3,900.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.83 / $13.25 / $22.08