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Montana rates for HCPCS L8049

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.36 / $28.36 / $28.36
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 / $12.98
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.60 / $12.60 / $12.60
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.60 / $12.60 / $12.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.25 / $13.25 / $22.08