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Illinois 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
$260.13 / $260.13 / $2,070.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.71 / $260.13 / $442.47
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,440.61 / $3,081.52 / $6,170.74
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$420.61 / $420.61 / $578.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$357.52 / $420.61 / $609.38
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.74 / $728.49 / $875.86
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$683.25 / $683.25 / $683.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$197.76 / $262.20 / $464.29