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North Dakota 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
$355.36 / $355.36 / $355.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$306.83 / $306.83 / $355.36
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$456.67 / $539.95 / $553.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$424.50 / $428.75 / $539.12
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$160.38 / $355.36 / $1,907.92
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$152.30 / $274.13 / $389.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$143.09 / $289.83 / $412.11