go back

Pennsylvania rates for HCPCS L8515

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.21 / $33.21 / $918.46
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.11 / $35.15 / $45.31
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,000.00 / $8,639.91 / $79,506.39
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.62 / $74.34 / $74.34
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.76 / $43.76 / $74.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.20 / $37.20 / $88.50
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.40 / $74.34 / $141.27
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.21 / $33.21 / $918.46
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.11 / $35.15 / $51.25
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.20 / $106.00 / $146.50
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.76 / $43.76 / $74.34
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.20 / $37.20 / $88.50
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.17 / $70.77 / $70.77
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.17 / $70.77 / $72.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.96 / $44.61 / $64.97