go back

Nebraska rates for HCPCS L8628

Cochlear implant, external controller component, replacement

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$956.97 / $956.97 / $956.97
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$956.97 / $956.97 / $1,128.35
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,318.90 / $1,450.80 / $1,465.45
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$843.35 / $1,650.68 / $1,650.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$843.35 / $1,650.68 / $2,545.37
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$915.28 / $1,626.85 / $7,017.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$571.32 / $897.78 / $1,247.73
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,645.85 / $1,650.68 / $2,079.78
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,372.50 / $1,950.81 / $3,400.65
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,529.61 / $1,529.61 / $1,529.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$571.32 / $889.76 / $1,037.58