go back

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
$50.00 / $50.00 / $50.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.60 / $12.60 / $12.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.60 / $12.60 / $19.43
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.10 / $18.10 / $18.10
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.82 / $18.82 / $18.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.40 / $16.52 / $22.08