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Virginia rates for HCPCS L8658

Interphalangeal joint spacer, silicone or equal, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$208.44 / $208.44 / $210.66
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.21 / $208.44 / $210.66
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$464.89 / $464.89 / $571.62
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$220.65 / $221.48 / $270.17
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
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$276.64 / $355.70 / $474.26
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$117.98 / $243.87 / $443.47
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$211.00 / $519.13 / $658.32
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$216.54 / $298.27 / $452.27
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$216.54 / $298.27 / $452.27
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$178.22 / $197.17 / $297.02