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South Carolina 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
$235.46 / $235.47 / $3,606.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$228.09 / $235.47 / $391.77
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$332.15 / $526.38 / $633.45
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$112.55 / $420.61 / $464.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$357.52 / $357.52 / $420.61
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$234.23 / $378.00 / $755.64
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$294.00 / $294.00 / $318.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$184.88 / $260.26 / $355.76