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Texas 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
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.00 / $80.00 / $80.00
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
$80.00 / $90.00 / $100.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.22 / $42.71 / $42.71
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.36 / $28.36 / $59.27
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.00 / $23.00 / $23.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.60 / $28.36 / $55.00
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.71 / $10.71 / $12.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.04 / $13.25 / $22.08
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.00 / $25.00 / $25.00