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Vermont 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
Professional
Modifier
Low / Median / High Price
$256.48 / $256.48 / $295.94
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$386.29 / $420.61 / $420.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.00 / $357.52 / $433.23
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$386.29 / $420.61 / $420.61
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.00 / $420.61 / $433.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$174.80 / $418.76 / $437.01