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Arizona rates for HCPCS L8603

Injectable bulking agent, collagen implant, urinary tract, 2.5 ml syringe, includes shipping and necessary supplies

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,457.51 / $1,457.51 / $1,457.51
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$235.47 / $236.82 / $391.77
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$395.51 / $1,428.79 / $2,583.19
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$345.41 / $460.55 / $627.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$420.61 / $420.61 / $420.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$357.52 / $357.52 / $609.38
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$152.43 / $351.66 / $2,275.37
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.41 / $236.12 / $363.85
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.31 / $236.12 / $361.33