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Washington 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
$343.58 / $779.93 / $3,884.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$262.79 / $343.58 / $814.29
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$462.95 / $2,275.37 / $2,275.37
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$368.12 / $578.14 / $3,838.80
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 / $357.52 / $420.61
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$268.14 / $509.28 / $943.01
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$297.89 / $528.70 / $1,004.58
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$448.41 / $498.24 / $561.22
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$475.83 / $516.30 / $576.28
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$462.95 / $462.95 / $856.04
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$385.95 / $581.57 / $581.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$236.12 / $354.19 / $450.49
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$284.26 / $449.40 / $449.40