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Pennsylvania rates for HCPCS L8690

Auditory osseointegrated device, includes all internal and external components

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,503.17 / $2,650.42 / $18,939.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,193.55 / $2,650.42 / $3,415.53
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,000.00 / $8,639.91 / $79,506.39
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,268.14 / $5,605.27 / $5,605.27
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,536.46 / $4,536.46 / $5,605.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,855.99 / $3,855.99 / $4,908.18
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,156.85 / $5,605.27 / $10,650.01
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,773.28 / $7,773.28 / $7,773.28
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,503.17 / $8,592.54 / $30,768.89
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,193.55 / $2,650.42 / $3,861.92
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,949.80 / $7,992.30 / $11,043.40
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,536.46 / $4,536.46 / $5,605.27
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,855.99 / $3,855.99 / $6,657.75
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,007.54 / $5,335.19 / $5,335.19
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,007.54 / $5,335.19 / $5,466.16
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,560.09 / $3,159.29 / $5,054.87