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Utah rates for HCPCS L8628

Cochlear Implant, Extern Controller Component, Replace

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$557.29 / $557.29 / $557.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$557.29 / $557.29 / $4,415.99
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 / $868.65
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$692.16 / $1,116.39 / $1,451.30
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,339.07 / $1,493.41 / $1,493.41
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$850.41 / $1,070.48 / $1,605.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$607.96 / $673.33 / $1,014.28