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North Dakota 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
$382.38 / $382.38 / $382.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$382.38 / $440.22 / $440.22
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$491.42 / $581.03 / $595.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$609.38 / $615.47 / $773.91
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$230.11 / $421.99 / $2,275.37
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$209.38 / $354.19 / $425.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$157.41 / $262.20 / $418.76