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Iowa rates for HCPCS L8512

Gelatin capsules or equivalent, for use with tracheo-esophageal voice prosthesis, replacement only, per 10

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.94 / $2.20 / $2.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.11 / $1.41 / $2.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.08 / $2.08 / $2.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.08 / $3.00 / $3.75
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.50 / $3.03 / $5.80
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.65 / $3.35 / $80.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.24 / $1.63 / $3.53
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.84 / $2.88 / $3.55
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.33 / $3.32 / $5.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.89 / $1.15 / $1.77
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.24 / $1.36 / $2.99
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.52 / $2.52 / $2.52
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.00 / $2.52 / $2.52