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Utah rates for HCPCS L8629

Transmitting coil and cable, integrated, for use with cochlear implant device, replacement

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.43 / $79.43 / $79.43
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.86 / $109.65 / $912.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$169.82 / $169.82 / $169.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.54 / $144.54 / $177.83
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $158.49 / $204.17
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$162.18 / $190.55 / $331.13
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.03 / $154.88 / $223.87
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $218.78 / $223.87
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.49 / $223.87 / $257.04
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.43 / $125.89 / $144.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.86 / $95.50 / $144.54