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Missouri rates for HCPCS L8658

Interphalangeal joint spacer, silicone or equal, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$167.36 / $247.56 / $1,834.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$167.36 / $191.77 / $348.67
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$183.53 / $220.02 / $313.06
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 / $194.57 / $235.77
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$168.43 / $295.22 / $1,907.92
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$152.30 / $197.98 / $389.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$152.30 / $182.75 / $279.66