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Iowa rates for HCPCS L8628

Cochlear implant, external controller component, replacement

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,112.60 / $1,285.25 / $1,285.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$625.50 / $810.61 / $1,285.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$843.35 / $843.35 / $1,650.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$843.35 / $1,779.00 / $2,223.75
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,130.45 / $1,357.00 / $1,534.44
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$956.97 / $1,928.22 / $7,017.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$717.39 / $958.56 / $2,050.27
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,645.85 / $1,650.68 / $2,050.33
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,351.91 / $1,941.80 / $3,154.39
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,159.44 / $2,159.44 / $3,509.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$717.39 / $800.92 / $1,966.67
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,500.62 / $1,500.62 / $1,500.62
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,185.49 / $1,500.62 / $1,500.62