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Idaho 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
Professional
Modifier
Low / Median / High Price
$321.56 / $444.43 / $444.43
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$330.10 / $420.61 / $420.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$357.52 / $357.52 / $433.23
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$152.43 / $394.97 / $528.70
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$475.83 / $502.27 / $528.70
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $390.18 / $464.68
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$370.09 / $370.09 / $555.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.31 / $236.12 / $373.86