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New Hampshire 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
$295.94 / $295.94 / $355.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.64 / $234.71 / $295.94
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$284.26 / $284.26 / $302.02
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 / $420.61
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$425.54 / $425.54 / $1,313.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$174.80 / $262.20 / $441.77
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$296.30 / $325.93 / $414.82