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Iowa rates for HCPCS L8512

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

Facilitymedian $3 · 10th–90th $2–$70%20%10th90th$3Professionalmedian $1 · 10th–90th $1–$30%50%90th$1$1.0$2.0$5.0$10.0$20.0$50.0$100.0

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
$1.00 / $2.00 / $2.00
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $1.00 / $2.00
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.09 / $2.09 / $2.88
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.09 / $3.02 / $3.72
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.45 / $5.13 / $5.75
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.78 / $3.39 / $79.43
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.23 / $1.78 / $4.37
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.82 / $3.02 / $3.55
Midlands
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.88 / $2.88 / $2.88
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.69 / $4.37 / $4.37
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.55 / $3.80 / $6.17
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.20 / $1.41 / $2.45
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.00 / $2.51 / $2.51