go back

Tennessee rates for HCPCS L8658

Interphalangeal joint spacer, silicone or equal, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$159.97 / $163.12 / $163.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$159.97 / $163.12 / $280.24
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$224.33 / $338.86 / $338.86
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 / $194.57 / $228.90
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$588.29 / $1,907.92 / $1,953.68
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,432.33 / $2,432.33 / $2,747.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.22 / $183.91 / $275.29