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Montana 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 $2 · 10th–90th $1–$80%20%40%10th90th$2$1.0$2.0$5.0$10.0$20.0$50.0

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
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $1.00 / $7.94
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.09 / $2.82 / $2.82
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.00 / $2.82 / $2.82
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.04 / $2.57 / $5.13
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.04 / $2.57 / $5.13
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.23 / $2.45 / $3.80
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.09 / $2.82 / $79.43
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.55 / $1.78 / $1.86
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.07 / $1.17 / $1.82