go back

Utah 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
$152.43 / $152.43 / $152.43
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$152.43 / $170.51 / $1,518.44
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 / $420.61 / $609.38
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.00 / $383.69 / $498.79
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$292.26 / $367.91 / $551.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.20 / $236.12 / $338.74