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Montana rates for HCPCS L8512

Gelatin Capsules Or Equivalent For Use With Tracheoesophageal Voiceprosthesis Replacement Only Per 10

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.12 / $7.36 / $7.36
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.08 / $2.79 / $2.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.08 / $2.79 / $2.79
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.30 / $2.66 / $2.79
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.08 / $2.10 / $2.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.77 / $1.77 / $1.85
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.06 / $1.17 / $1.86