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Virginia 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
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.00 / $25.00 / $30.74
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.69 / $15.69 / $15.69
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
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.36 / $28.36 / $43.19
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $9,929.00 / $10,945.00
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $9,929.00 / $10,945.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.25 / $13.25 / $22.08