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Oklahoma rates for HCPCS L8658

Interphalangeal joint spacer, silicone or equal, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$157.16 / $157.16 / $157.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$157.16 / $179.63 / $186.35
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$320.76 / $320.76 / $320.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$228.90 / $228.90 / $228.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.57 / $228.90 / $228.90
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$117.98 / $220.02 / $1,907.92
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$121.84 / $241.49 / $370.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$121.84 / $175.12 / $274.13