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Montana rates for HCPCS L8658

Interphalangeal joint spacer, silicone or equal, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $309.03 / $407.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$229.09 / $512.86 / $512.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $416.87 / $512.86
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$354.81 / $478.63 / $933.25
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.81 / $478.63 / $933.25
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$218.78 / $389.05 / $537.03
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $389.05 / $512.86
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$239.88 / $275.42 / $288.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.96 / $181.97 / $281.84