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Ohio 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?

$42.66

Typical negotiated rate. In Ohio, July 2026.

Insurers have agreed to pay about $42.66 for this service. The price depends on where it is billed: about $40.74 from a physician practice, and about $79.43 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$40.74$37.15 to $53.70
FacilityA hospital or hospital-owned outpatient department$79.43$63.10 to $91.20

How much rates vary

Facilitymedian $79 · 10th to 90th $38 to $132Professionalmedian $41 · 10th to 90th $35 to $79
$20$50$100$200facility $79professional $41

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
$37.15
Median
$37.15
Typical High
$63.10
Aetna
Setting
Professional
Modifier
Global
Typical Low
$33.88
Median
$37.15
Typical High
$64.57
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$77.62
Median
$81.28
Typical High
$165.96
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$37.15
Median
$45.71
Typical High
$100.00
CareSource
Setting
Facility
Modifier
Global
Typical Low
$38.02
Median
$64.57
Typical High
$91.20
CareSource
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$69.18
Typical High
$102.33
Cigna
Setting
Facility
Modifier
Global
Typical Low
$43.65
Median
$43.65
Typical High
$47.86
Cigna
Setting
Professional
Modifier
Global
Typical Low
$37.15
Median
$37.15
Typical High
$46.77
Medical Mutual of Ohio
Setting
Facility
Modifier
Global
Typical Low
$43.65
Median
$43.65
Typical High
$45.71
Medical Mutual of Ohio
Setting
Professional
Modifier
Global
Typical Low
$37.15
Median
$37.15
Typical High
$43.65
Molina
Setting
Professional
Modifier
Global
Typical Low
$41.69
Median
$66.07
Typical High
$95.50
SummaCare
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$87.10
Typical High
$158.49
United
Setting
Facility
Modifier
Global
Typical Low
$44.67
Median
$61.66
Typical High
$79.43
United
Setting
Professional
Modifier
Global
Typical Low
$25.12
Median
$38.02
Typical High
$53.70

Where Ohio 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.

Ohio· 29th of 51

$42.66

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.