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New Jersey rates for HCPCS L8658

Interphalangeal joint spacer, silicone or equal, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$134.62 / $134.62 / $134.62
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.62 / $173.04 / $233.61
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$228.90 / $228.90 / $366.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.57 / $194.57 / $320.76
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$334.66 / $337.01 / $479.88
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.47 / $169.47 / $243.67
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$168.20 / $192.70 / $307.91