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New Hampshire rates for HCPCS L8049

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

Facilitymedian $50 · 10th–90th $22–$600%20%10th90th$50Professionalmedian $25 · 10th–90th $18–$500%20%10th90th$25$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. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$50.12 / $50.12 / $60.26
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.99 / $28.18 / $60.26
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.12 / $25.12 / $25.12
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 / $10.72 / $12.59
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.78 / $17.78 / $33.11
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.91 / $18.20 / $21.88
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.91 / $17.78 / $21.88
Well Sense
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$28.84 / $32.36 / $45.71