go back

Indiana rates for HCPCS L8658

Interphalangeal joint spacer, silicone or equal, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$174.34 / $174.34 / $366.32
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$174.34 / $178.87 / $195.26
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$183.53 / $183.53 / $354.21
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$183.53 / $183.53 / $275.29
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$282.38 / $402.95 / $549.48
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$311.37 / $402.95 / $494.53
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$228.90 / $228.90 / $366.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.57 / $228.90 / $375.77
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$121.84 / $182.75 / $275.35