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Washington 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
$48.32 / $109.69 / $114.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.53 / $48.32 / $114.52
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.11 / $141.59 / $354.84
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.80 / $75.25 / $544.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.76 / $43.76 / $43.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.20 / $37.20 / $43.76
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.12 / $77.05 / $203.78
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.74 / $78.41 / $143.97
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.00 / $74.34 / $74.34
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.92 / $74.34 / $77.06
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.11 / $83.50 / $145.22
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.72 / $61.72 / $72.61
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.77 / $72.61 / $72.61
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.28 / $81.79 / $81.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.96 / $50.94 / $64.79
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.38 / $63.20 / $63.20