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Montana rates for HCPCS L8049

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

Facilitymedian $28 · 10th–90th $13–$660%10%20%10th90th$28Professionalmedian $28 · 10th–90th $28–$550%50%90th$28$10.0$20.0$50.0$100.0

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.18 / $28.18 / $54.95
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 / $12.88
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.59 / $30.20 / $66.07
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.59 / $79.43 / $85.11
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$17.78 / $20.89 / $20.89
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.18 / $13.18 / $21.88