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Insert for Indwelling Tracheo-Esophageal Prosthesis

Maine rates for HCPCS L8511

Insert for indwelling tracheo-esophageal prosthesis, with or without valve, replacement only, each

Rates data updated July 2026.

How much does Insert for Indwelling Tracheo-Esophageal Prosthesis cost?

$57.54

Typical negotiated rate. In Maine, July 2026.

Insurers have agreed to pay about $57.54 for this service. The price depends on where it is billed: about $57.54 from a physician practice, and about $100 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 6 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$57.54$46.77 to $74.13
FacilityA hospital or hospital-owned outpatient department$100$69.18 to $102

How much rates vary

Facilitymedian $100 · 10th to 90th $59 to $115Professionalmedian $58 · 10th to 90th $39 to $74
$50$100$200facility $100professional $58

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$37.15
Median
$46.77
Typical High
$57.54
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$85.11
Median
$102.33
Typical High
$114.82
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$47.86
Median
$47.86
Typical High
$61.66
Cigna
Setting
Facility
Modifier
Global
Typical Low
$69.18
Median
$69.18
Typical High
$69.18
Cigna
Setting
Professional
Modifier
Global
Typical Low
$58.88
Median
$58.88
Typical High
$69.18
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$74.13
Typical High
$89.13
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$37.15
Median
$47.86
Typical High
$57.54
United
Setting
Facility
Modifier
Global
Typical Low
$25.12
Median
$51.29
Typical High
$61.66
United
Setting
Professional
Modifier
Global
Typical Low
$33.11
Median
$74.13
Typical High
$74.13

Where Maine sits

The same service costs 2.3 times more in Wisconsin than in Delaware. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Maine· 19th of 51

$57.54

WI $89.13DE $38.02

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.