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Utah rates for HCPCS L8512

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.76 / $0.76 / $0.76
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.76 / $0.83 / $7.36
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.08 / $2.08 / $2.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.77 / $2.08 / $3.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.59 / $1.95 / $35.00
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.33 / $2.60 / $2.60
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.49 / $1.86 / $2.79
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.98 / $1.54 / $1.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.06 / $1.17 / $1.67