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Nationwide rates for HCPCS L8604

Injectable bulking agent, dextranomer/hyaluronic acid copolymer implant, urinary tract, 1 ml, includes shipping and necessary supplies

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,089.30 / $2,511.89 / $20,892.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,089.30 / $2,398.83 / $2,398.83
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$123.03 / $123.03 / $239.88
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.10 / $112.20 / $158.49
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.57 / $64.57 / $50,118.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.23 / $162.18 / $162.18