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Maine rates for HCPCS L8512

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.25 / $1.72 / $1.72
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.25 / $2.93 / $5.43
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.41 / $1.50 / $1.91
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.08 / $2.08 / $2.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.77 / $1.77 / $2.08
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.06 / $2.06 / $2.06
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.43 / $1.72 / $1.72
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.54 / $1.54 / $1.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.91 / $1.27 / $2.93