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Arizona rates for HCPCS L8658

Interphalangeal joint spacer, silicone or equal, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.84 / $168.43 / $317.41
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$96.18 / $347.44 / $628.15
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$240.43 / $320.58 / $436.78
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 / $194.57 / $424.50
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$117.98 / $255.29 / $1,907.92
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.17 / $182.75 / $281.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$168.97 / $182.75 / $275.29