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Alabama rates for HCPCS L8658

Interphalangeal Joint Spacer Silicone Or Equal Each. (Rvsd 1/1/04)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$316.50 / $316.50 / $316.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$160.74 / $316.50 / $316.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$228.90 / $228.90 / $366.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.57 / $228.90 / $358.37
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$121.84 / $187.84 / $291.81