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Georgia 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
$156.85 / $156.85 / $444.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$156.85 / $222.72 / $316.50
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$200.73 / $313.06 / $601.08
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$311.37 / $335.94 / $696.54
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$320.02 / $320.02 / $320.02
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 / $434.89
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$286.14 / $376.51 / $665.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$163.52 / $187.84 / $368.49