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Utah rates for HCPCS L8627

Cochlear implant, external speech processor, component, replacement

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,162.28 / $3,162.28 / $3,162.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,162.28 / $4,365.16 / $37,153.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,786.30 / $4,786.30 / $4,786.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,073.80 / $4,073.80 / $4,897.79
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $6,165.95 / $7,943.28
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,309.57 / $7,413.10 / $12,882.50
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,677.35 / $6,025.60 / $8,709.64
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,585.78 / $8,511.38 / $8,709.64
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,165.95 / $8,709.64 / $10,000.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,162.28 / $5,011.87 / $5,754.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,951.21 / $3,801.89 / $5,754.40