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Maine rates for HCPCS L8512

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

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

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $1.00 / $3.89
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.51 / $3.02 / $3.47
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.41 / $1.41 / $1.86
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.09 / $2.09 / $2.09
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.78 / $1.78 / $2.09
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.24 / $2.24 / $2.63
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $1.00 / $1.00
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.76 / $1.55 / $1.55
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $2.19 / $2.24