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Texas rates for HCPCS L8658

Interphalangeal joint spacer, silicone or equal, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$160.38 / $160.38 / $173.21
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$160.38 / $174.34 / $320.76
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,456.92 / $5,821.21 / $8,577.84
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$366.32 / $366.32 / $366.32
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
$1,907.92 / $1,953.68 / $1,953.68
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,432.33 / $2,432.33 / $2,747.40
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$117.98 / $255.29 / $366.32
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.98 / $337.01 / $488.42
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$117.98 / $244.76 / $366.32
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.57 / $194.57 / $235.77
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$152.30 / $225.29 / $275.29
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$220.02 / $221.67 / $366.32