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Pennsylvania 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?

$37.15

Typical negotiated rate. In Pennsylvania, July 2026.

Insurers have agreed to pay about $37.15 for this service. The price depends on where it is billed: about $37.15 from a physician practice, and about $52.48 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 9 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$37.15$33.11 to $47.86
FacilityA hospital or hospital-owned outpatient department$52.48$33.11 to $112

How much rates vary

Facilitymedian $52 · 10th to 90th $33 to $479Professionalmedian $37 · 10th to 90th $31 to $74
$100$1K$10Kfacility $52professional $37

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
$33.11
Median
$33.11
Typical High
$35.48
Aetna
Setting
Professional
Modifier
Global
Typical Low
$28.84
Median
$36.31
Typical High
$57.54
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$5,011.87
Median
$8,511.38
Typical High
$77,624.71
Capital Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$74.13
Typical High
$74.13
Cigna
Setting
Facility
Modifier
Global
Typical Low
$43.65
Median
$43.65
Typical High
$107.15
Cigna
Setting
Professional
Modifier
Global
Typical Low
$37.15
Median
$37.15
Typical High
$43.65
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$100.00
Typical High
$144.54
Geisinger
Setting
Facility
Modifier
Global
Typical Low
$75.86
Median
$75.86
Typical High
$75.86
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$53.70
Typical High
$75.86
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$33.11
Median
$33.11
Typical High
$912.01
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$36.31
Typical High
$51.29
Oscar Health
Setting
Facility
Modifier
Global
Typical Low
$38.90
Median
$38.90
Typical High
$38.90
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$70.79
Median
$269.15
Typical High
$436.52
UPMC Health Plan
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$70.79
Typical High
$72.44
United
Setting
Facility
Modifier
Global
Typical Low
$30.90
Median
$93.33
Typical High
$93.33
United
Setting
Professional
Modifier
Global
Typical Low
$30.90
Median
$41.69
Typical High
$75.86

Where Pennsylvania 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.

Pennsylvania· 43rd of 51

$37.15

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.