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Massachusetts 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
$213.41 / $213.41 / $213.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$178.87 / $213.41 / $285.91
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$287.29 / $906.11 / $1,953.68
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.79 / $293.72 / $476.98
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$533.29 / $630.70 / $812.22
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$228.90 / $228.90 / $358.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.57 / $228.90 / $424.50
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.43 / $4,618.00 / $9,239.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$395.46 / $395.46 / $415.23
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$743.63 / $1,953.68 / $1,953.68
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$182.75 / $261.08 / $476.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$185.96 / $261.08 / $434.16