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Idaho rates for HCPCS L8658

Interphalangeal joint spacer, silicone or equal, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$297.06 / $410.57 / $410.57
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$228.90 / $228.90 / $229.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.57 / $194.57 / $235.77
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$117.98 / $344.05 / $488.42
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$439.58 / $464.00 / $488.42
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $360.45 / $429.28
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$341.89 / $341.89 / $512.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$168.97 / $182.75 / $378.49