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Connecticut 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
$237.39 / $237.39 / $237.39
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$159.41 / $173.21 / $237.39
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$220.02 / $220.02 / $233.77
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 / $228.90
ConnectiCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$317.47 / $317.47 / $317.47
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$238.11 / $317.47 / $402.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$185.96 / $243.67 / $311.27