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Pennsylvania 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
$1.13 / $1.13 / $1.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.20 / $1.57
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,000.00 / $8,639.91 / $79,506.39
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.94 / $2.54 / $2.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.08 / $2.08 / $2.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.77 / $1.77 / $2.23
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.34 / $2.54 / $4.83
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.13 / $1.13 / $1.13
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.20 / $1.75
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.20 / $3.60 / $5.00
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.08 / $2.08 / $2.54
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.77 / $1.77 / $3.00
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.82 / $2.42 / $2.42
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.82 / $2.42 / $2.50
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.91 / $1.54 / $1.77
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.17 / $1.42 / $2.29