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Massachusetts rates for HCPCS L8515

Gelatin capsule, application device for use with tracheo-esophageal voice prosthesis, each

Rates data updated July 2026.

How much does HCPCS L8515 cost?

$64.57

Typical negotiated rate. In Massachusetts, July 2026.

Insurers have agreed to pay about $64.57 for this service. The price depends on where it is billed: about $64.57 from a physician practice, and about $93.33 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 8 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$64.57$36.31 to $64.57
FacilityA hospital or hospital-owned outpatient department$93.33$79.43 to $112

How much rates vary

Facilitymedian $93 · 10th to 90th $40 to $148Professionalmedian $65 · 10th to 90th $32 to $100
$50$100$200$500$1K$2K$5Kfacility $93professional $65

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$32.36
Aetna
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$36.31
Typical High
$109.65
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$52.48
Median
$72.44
Typical High
$363.08
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$33.88
Median
$54.95
Typical High
$91.20
BCBS
Setting
Facility
Modifier
Global
Typical Low
$83.18
Median
$97.72
Typical High
$128.82
Cigna
Setting
Facility
Modifier
Global
Typical Low
$43.65
Median
$43.65
Typical High
$43.65
Cigna
Setting
Professional
Modifier
Global
Typical Low
$37.15
Median
$37.15
Typical High
$89.13
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$60.26
Median
$3,630.78
Typical High
$9,772.37
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$64.57
Typical High
$97.72
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$52.48
Median
$72.44
Typical High
$363.08
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$33.88
Median
$54.95
Typical High
$91.20
United
Setting
Facility
Modifier
Global
Typical Low
$28.18
Median
$52.48
Typical High
$93.33
United
Setting
Professional
Modifier
Global
Typical Low
$33.88
Median
$63.10
Typical High
$66.07

Where Massachusetts sits

The same service costs 2.3 times more in South Dakota than in Delaware. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Massachusetts· 10th of 51

$64.57

SD $75.86DE $33.11

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.