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Michigan rates for HCPCS L8512

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

Facilitymedian $3 · 10th–90th $1–$110%10%10th90th$3Professionalmedian $1 · 10th–90th $1–$30%50%90th$1$0.0$0.1$0.5$2.0$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. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.00 / $1.00 / $1.00
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $1.00 / $1.45
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.47 / $7.94 / $15.14
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.63 / $2.63 / $2.75
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.74 / $1.74 / $1.74
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 / $2.09 / $2.19
Health Alliance Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.00 / $5.01 / $5.62
Health Alliance Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $2.14 / $3.24
Priority Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.09 / $2.09 / $2.09
Priority Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.78 / $2.09 / $2.29
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.55 / $2.14 / $3.16
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.98 / $1.26 / $1.86