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Kentucky 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
$133.16 / $179.19 / $186.35
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$159.97 / $179.19 / $208.44
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$176.10 / $220.02 / $222.77
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$282.38 / $512.85 / $652.11
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$357.68 / $457.90 / $621.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$228.90 / $228.90 / $441.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.57 / $228.90 / $1,822.15
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.22 / $187.84 / $297.89