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Illinois 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
$181.31 / $181.31 / $1,834.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.84 / $184.80 / $316.50
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$437.25 / $925.35 / $3,232.49
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$243.26 / $278.39 / $278.39
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$228.90 / $228.90 / $402.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.57 / $228.90 / $424.50
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$329.69 / $517.49 / $626.35
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$476.22 / $476.22 / $476.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.17 / $182.75 / $323.60