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Iowa rates for HCPCS L8049

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

Facilitymedian $28 · 10th–90th $18–$440%50%10th90th$28Professionalmedian $28 · 10th–90th $22–$340%50%10th90th$28$0.0$0.1$0.5$2.0$10.0$50.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$28.18 / $28.18 / $28.18
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.18 / $28.18 / $33.88
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.59 / $12.59 / $12.59
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.72 / $12.59 / $38.02
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$151.36 / $151.36 / $151.36
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$28.18 / $38.90 / $89.13
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.18 / $17.78 / $28.84
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.02 / $38.02 / $38.02
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.88 / $33.88 / $33.88
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.96 / $20.89 / $21.88
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.18 / $14.45 / $24.55
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.12 / $32.36 / $32.36