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Gelatin Capsules or Equivalent for Voice Prosthesis

Montana rates for HCPCS L8512

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

Rates data updated July 2026.

How much does Gelatin Capsules or Equivalent for Voice Prosthesis cost?

$2.24

Typical negotiated rate. In Montana, July 2026.

Insurers have agreed to pay about $2.24 for this service. The price depends on where it is billed: about $2.14 from a physician practice, and about $2.57 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 5 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$2.14$1.41 to $2.57
FacilityA hospital or hospital-owned outpatient department$2.57$2.09 to $2.82

How much rates vary

Facilitymedian $3 · 10th to 90th $2 to $3Professionalmedian $2 · 10th to 90th $1 to $11
$1$2$5$10$20$50facility $3professional $2

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$0.76
Median
$2.14
Typical High
$10.96
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2.09
Median
$2.82
Typical High
$2.82
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1.78
Median
$2.82
Typical High
$2.82
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$2.04
Median
$2.57
Typical High
$5.13
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$2.04
Median
$2.57
Typical High
$5.13
Providence
Setting
Facility
Modifier
Global
Typical Low
$1.23
Median
$2.45
Typical High
$3.80
Providence
Setting
Professional
Modifier
Global
Typical Low
$2.09
Median
$2.82
Typical High
$79.43
United
Setting
Facility
Modifier
Global
Typical Low
$1.55
Median
$1.78
Typical High
$1.86
United
Setting
Professional
Modifier
Global
Typical Low
$1.07
Median
$1.17
Typical High
$1.82

Where Montana sits

The same service costs 2.5 times more in Kansas than in Delaware. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Montana· 8th of 51

$2.24

KS $2.82DE $1.15

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.