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Washington, DC 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
$28.36 / $28.36 / $28.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.36 / $28.36 / $28.36
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.69 / $15.69 / $15.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.71 / $10.71 / $10.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.83 / $13.25 / $19.28