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Louisiana rates for HCPCS L8658

Interphalangeal joint spacer, silicone or equal, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$197.98 / $210.17 / $298.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.84 / $210.17 / $304.58
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$318.83 / $544.70 / $765.65
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$217.44 / $260.08 / $260.08
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$228.90 / $228.90 / $228.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.57 / $228.90 / $228.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$121.84 / $182.75 / $281.62