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Indiana rates for HCPCS L8628

Cochlear implant, external controller component, replacement

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$724.44 / $724.44 / $724.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $758.58 / $1,122.02
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,096.48 / $1,548.82 / $1,949.84
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$812.83 / $1,096.48 / $1,819.70
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,513.56 / $1,862.09 / $2,238.72
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$562.34 / $724.44 / $851.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.44 / $724.44 / $1,621.81
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$891.25 / $1,071.52 / $1,230.27
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.68 / $758.58 / $1,148.15