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Maine 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?

$50.12

Typical negotiated rate. In Maine, July 2026.

Insurers have agreed to pay about $50.12 for this service. The price depends on where it is billed: about $46.77 from a physician practice, and about $87.10 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 6 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$46.77$40.74 to $64.57
FacilityA hospital or hospital-owned outpatient department$87.10$53.70 to $87.10

How much rates vary

Facilitymedian $87 · 10th to 90th $44 to $100Professionalmedian $47 · 10th to 90th $32 to $65
$20$50$100facility $87professional $47

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$40.74
Typical High
$50.12
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$74.13
Median
$87.10
Typical High
$100.00
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$42.66
Median
$42.66
Typical High
$53.70
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
$43.65
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$64.57
Typical High
$77.62
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$41.69
Typical High
$50.12
United
Setting
Facility
Modifier
Global
Typical Low
$21.88
Median
$44.67
Typical High
$53.70
United
Setting
Professional
Modifier
Global
Typical Low
$28.84
Median
$64.57
Typical High
$64.57

Where Maine 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.

Maine· 16th of 51

$50.12

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.