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Maine rates for HCPCS L8628

Cochlear implant, external controller component, replacement

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$709.92 / $981.72 / $981.72
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,296.42 / $1,679.63 / $3,113.50
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$861.27 / $861.27 / $1,094.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$843.35 / $843.35 / $843.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$716.85 / $716.85 / $843.35
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,180.19 / $1,180.19 / $1,180.19
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$820.75 / $981.72 / $981.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$518.79 / $1,037.58 / $2,018.33