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South Carolina 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
$168.43 / $168.43 / $168.43
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$159.41 / $168.43 / $280.24
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$237.58 / $376.51 / $453.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$104.43 / $228.90 / $252.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.57 / $226.41 / $228.90
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$167.55 / $270.00 / $540.50
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$211.00 / $211.00 / $228.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.08 / $186.16 / $275.35