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Massachusetts 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 / $23.00 / $23.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.00 / $27.60 / $50.00
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$90.00 / $100.00 / $818.35
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.04 / $17.66 / $22.08
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.18 / $31.36 / $31.36
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.60 / $12.60 / $17.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.71 / $10.71 / $12.60
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.43 / $4,618.00 / $9,239.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.92 / $17.92 / $18.82
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$90.00 / $100.00 / $100.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.04 / $17.66 / $22.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.04 / $17.66 / $22.08