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Utah rates for HCPCS L8623

Lithium ion battery for use with cochlear implant device speech processor, other than ear level, replacement, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.88 / $21.88 / $21.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.88 / $39.81 / $331.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.66 / $61.66 / $61.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.48 / $52.48 / $64.57
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.48 / $57.54 / $75.86
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58.88 / $69.18 / $120.23
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.65 / $56.23 / $81.28
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.79 / $79.43 / $81.28
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.54 / $81.28 / $93.33
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.84 / $45.71 / $52.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.54 / $34.67 / $52.48