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Georgia 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
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.25 / $25.00 / $25.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.00 / $24.00 / $24.00
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
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.83 / $14.35 / $22.08