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Ohio rates for HCPCS L8511

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

Facilitymedian $95 · 10th–90th $55$2950%20%10th90th$95Professionalmedian $45 · 10th–90th $37$780%20%40%10th90th$45$0.1$0.5$2.0$10.0$50.0$200.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$41.69 / $72.44 / $616.60
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$37.15 / $41.69 / $72.44
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$89.13 / $95.50 / $190.55
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$43.65 / $53.70 / $117.49
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$43.65 / $75.86 / $107.15
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$57.54 / $79.43 / $120.23
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$69.18 / $69.18 / $72.44
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$58.88 / $58.88 / $69.18
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$69.18 / $69.18 / $69.18
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$58.88 / $58.88 / $69.18
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$47.86 / $75.86 / $109.65
SummaCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$107.15 / $107.15 / $107.15
SummaCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$85.11 / $100.00 / $186.21
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$35.48 / $72.44 / $107.15
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$29.51 / $43.65 / $60.26