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South Dakota 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
$440.22 / $440.22 / $440.22
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$410.21 / $440.22 / $513.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$420.61 / $420.61 / $578.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$609.38 / $609.38 / $761.72
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$388.89 / $743.97 / $2,275.37
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$209.38 / $349.61 / $600.79
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$480.71 / $578.14 / $908.26
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$473.50 / $586.26 / $1,104.81
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$438.40 / $513.26 / $610.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$184.88 / $314.83 / $437.01
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$473.02 / $473.02 / $473.02