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Montana rates for HCPCS L8603

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

Facilitymedian $513 · 10th–90th $372–$1,5490%20%10th90th$513Professionalmedian $347 · 10th–90th $170–$6460%10%20%10th90th$347$100.0$500.0$2.0K$10.0K$50.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$169.82 / $323.59 / $891.25
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$724.44 / $69,183.10 / $95,499.26
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$416.87 / $549.54 / $549.54
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$398.11 / $549.54 / $549.54
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$407.38 / $512.86 / $1,000.00
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$407.38 / $512.86 / $1,000.00
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$257.04 / $489.78 / $758.58
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$79.43 / $416.87 / $549.54
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$309.03 / $354.81 / $371.54
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$213.80 / $234.42 / $363.08