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Nebraska rates for HCPCS L8658

Interphalangeal joint spacer, silicone or equal, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$233.61 / $233.61 / $233.61
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$233.61 / $233.61 / $275.45
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$321.95 / $354.14 / $357.73
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$228.90 / $402.95 / $402.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$228.90 / $402.95 / $621.36
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$210.25 / $400.97 / $1,907.92
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$139.47 / $234.00 / $304.58
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$401.78 / $402.95 / $556.50
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$364.84 / $476.22 / $830.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$139.47 / $182.75 / $286.70