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Iowa 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 / $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 / $33.51
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.00 / $150.00 / $150.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.36 / $41.17 / $90.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.25 / $17.66 / $36.28
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.90 / $38.43 / $38.43
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.51 / $33.51 / $38.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.25 / $13.25 / $24.73
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.00 / $32.00 / $32.00
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.28 / $32.00 / $32.00