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Hawaii rates for HCPCS L8658

Interphalangeal joint spacer, silicone or equal, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.62 / $134.62 / $134.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$210.64 / $210.64 / $210.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$228.90 / $228.90 / $228.90
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$247.21 / $247.21 / $247.21
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$255.29 / $255.29 / $255.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$175.81 / $210.64 / $304.58