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New York 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
$24.82 / $28.36 / $50.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.82 / $28.36 / $50.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.00 / $25.00 / $58.75
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.57 / $12.57 / $12.57
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 / $10.71 / $12.60
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,900.00 / $3,900.00 / $3,900.00
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.96 / $17.96 / $17.96
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.60 / $12.60 / $555.00
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.71 / $10.71 / $12.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.83 / $16.45 / $23.42
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.96 / $17.96 / $17.96
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.96 / $17.96 / $17.96