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North Dakota 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 / $57.75
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.36 / $28.36 / $50.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.32 / $46.49 / $47.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.71 / $10.71 / $10.71
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.36 / $28.36 / $55.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.04 / $17.66 / $23.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.83 / $13.25 / $22.41