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Tennessee 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
$20.36 / $24.43 / $27.14
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
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.00 / $90.00 / $100.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.71 / $42.71 / $42.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.83 / $13.25 / $22.08