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Washington, DC 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
$210.66 / $210.66 / $210.66
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$210.66 / $210.66 / $210.66
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$220.65 / $221.48 / $270.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.57 / $194.57 / $194.57
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$256.89 / $256.89 / $784.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.44 / $197.17 / $337.00