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Montana rates for HCPCS L8515

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.85 / $214.55 / $214.55
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.76 / $80.91 / $80.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.76 / $80.91 / $80.91
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.95 / $77.06 / $80.91
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.90 / $62.07 / $80.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.70 / $33.96 / $52.33