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Vermont rates for HCPCS L8658

Interphalangeal Joint Spacer Silicone Or Equal Each. (Rvsd 1/1/04)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$238.35 / $238.35 / $275.02
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$228.90 / $228.90 / $358.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.57 / $228.22 / $235.77
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$228.90 / $228.90 / $358.99
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.57 / $228.90 / $235.77
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$182.75 / $367.06 / $564.65