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Massachusetts rates for HCPCS L8624

Lithium Ion Battery For Use With Cochlear Implant Or Auditory Osseointegrated Device Speech Processor Ear Level Replacement Each (Desc Revised 1/1/2018)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.02 / $83.02 / $83.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.02 / $87.55 / $151.19
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$151.40 / $477.52 / $902.60
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.78 / $144.69 / $185.57
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.95 / $158.41 / $158.41
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.73 / $67.73 / $67.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.58 / $67.73 / $225.75
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.43 / $4,618.00 / $9,239.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$153.85 / $153.85 / $161.54
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$395.20 / $902.60 / $902.60
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.23 / $101.57 / $185.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.52 / $101.57 / $185.57