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Arkansas rates for HCPCS L8603

Injectable Bulking Agent Collagen Implant Urinary Tract 2.5 Ml Syringe Includes Shipping And Necessary Supplies (Special Coverage Instructions Apply. See Cim: 65.9)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$292.13 / $292.13 / $292.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$225.43 / $292.13 / $292.13
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$219,999.78 / $539,999.46 / $949,999.05
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$453.72 / $600.52 / $667.24
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$525.58 / $525.58 / $526.38
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$525.58 / $525.58 / $525.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$420.46 / $420.61 / $420.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$315.98 / $410.61 / $420.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$157.41 / $262.20 / $355.76