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Nebraska rates for HCPCS L8512

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.65 / $1.65 / $1.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.65 / $1.65 / $1.94
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.27 / $2.49 / $2.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.08 / $2.84 / $2.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.08 / $2.84 / $4.38
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.32 / $2.81 / $80.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.98 / $1.54 / $2.15
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.84 / $2.84 / $3.59
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.37 / $3.35 / $5.86
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.89 / $0.89 / $1.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.98 / $1.38 / $1.81