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Kentucky 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
$23.00 / $28.36 / $28.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.82 / $28.36 / $55.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.92 / $25.00 / $25.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.18 / $28.24 / $40.95
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.83 / $33.89 / $45.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.60 / $12.60 / $64.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.71 / $12.60 / $22.16
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.69 / $20.92 / $25.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.83 / $13.25 / $22.08