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Utah 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
$56.03 / $56.03 / $56.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.03 / $61.56 / $548.26
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
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.24 / $143.94 / $187.12
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$172.65 / $192.55 / $192.55
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.65 / $138.02 / $207.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.34 / $86.78 / $124.50