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North Carolina 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 / $28.36
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.92 / $49.76 / $60.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.60 / $12.60 / $12.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.71 / $12.60 / $12.60
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.36 / $28.36 / $36.86
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.14 / $13.25 / $22.08
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$90.00 / $100.00 / $100.00