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North Carolina rates for HCPCS L8658

Interphalangeal joint spacer, silicone or equal, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$281.84 / $281.84 / $281.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.18 / $234.42 / $309.03
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$309.03 / $371.54 / $758.58
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.84 / $288.40 / $309.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$104.71 / $229.09 / $229.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $194.98 / $426.58
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.82 / $181.97 / $263.03
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$158.49 / $309.03 / $549.54
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.60 / $0.60 / $0.60
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$151.36 / $275.42 / $288.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.36 / $186.21 / $281.84
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,949.84 / $1,949.84 / $1,949.84
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,454.71 / $2,454.71 / $2,754.23