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Alaska rates for HCPCS L8628

Cochlear implant, external controller component, replacement

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$812.83 / $912.01 / $1,288.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$851.14 / $851.14 / $851.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.44 / $724.44 / $870.96
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$457.09 / $1,288.25 / $1,412.54
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,412.54 / $1,479.11 / $4,677.35
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,412.54 / $1,412.54 / $1,479.11
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,148.15 / $1,412.54 / $1,819.70
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$457.09 / $457.09 / $1,548.82
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $851.14 / $1,445.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$891.25 / $891.25 / $1,023.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $724.44 / $3,235.94