go back

Nebraska 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
$123.53 / $123.53 / $123.53
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.53 / $123.53 / $145.66
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$170.25 / $187.28 / $189.16
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.73 / $213.08 / $213.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.73 / $213.08 / $328.58
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.53 / $210.00 / $836.27
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.75 / $114.67 / $161.07
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$212.46 / $213.08 / $268.47
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.18 / $251.82 / $438.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.75 / $104.60 / $133.72