go back

Oklahoma rates for HCPCS L8628

Cochlear Implant, Extern Controller Component, Replace

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$644.19 / $644.19 / $644.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$644.19 / $736.22 / $743.18
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 / $843.35 / $843.35
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$456.43 / $901.74 / $7,017.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$448.89 / $889.76 / $1,519.88
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
$448.89 / $698.07 / $1,014.28