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Alaska rates for HCPCS L8658

Interphalangeal joint spacer, silicone or equal, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$352.88 / $352.88 / $352.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$228.90 / $228.90 / $228.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.57 / $228.90 / $235.77
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$117.98 / $117.98 / $117.98
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$464.00 / $464.00 / $464.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$117.98 / $117.98 / $228.90
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.57 / $235.77 / $464.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$236.07 / $243.67 / $467.04