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Hawaii 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
$22.91 / $28.18 / $28.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.59 / $12.59 / $12.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.59 / $12.59 / $19.50
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.20 / $18.20 / $18.20
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.62 / $18.62 / $18.62
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.78 / $19.50 / $20.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.91 / $17.38 / $33.11