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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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.12 / $50.12 / $60.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.99 / $28.18 / $60.26
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.12 / $25.12 / $25.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.59 / $12.59 / $12.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.72 / $10.72 / $12.59
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.78 / $17.78 / $31.62
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.91 / $18.20 / $21.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.91 / $17.78 / $21.88