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Pennsylvania 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
$234.71 / $1,840.69 / $2,022.27
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$205.12 / $248.51 / $311.72
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,000.00 / $8,639.91 / $79,506.39
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$400.20 / $525.58 / $525.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$420.61 / $420.61 / $524.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$357.52 / $357.52 / $458.94
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$482.19 / $524.12 / $995.83
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,772.54 / $1,772.54 / $2,061.42
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$816.54 / $1,840.69 / $2,246.88
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$205.12 / $248.51 / $391.77
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$187.60 / $246.50 / $1,032.59
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$420.61 / $420.61 / $524.12
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$357.52 / $357.52 / $609.38
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$363.44 / $363.44 / $500.25
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.44 / $500.25 / $500.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$236.98 / $296.23 / $459.21