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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
$730.26 / $730.26 / $1,534.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$717.72 / $744.86 / $759.47
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,212.21 / $1,373.32 / $1,534.44
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$810.61 / $1,092.50 / $1,474.87
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,150.83 / $1,687.88 / $2,252.31
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,304.27 / $1,687.88 / $2,071.48
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$843.35 / $843.35 / $1,534.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$716.85 / $843.35 / $1,614.41
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,159.44 / $2,159.44 / $2,159.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$448.89 / $765.52 / $1,084.49