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Colorado 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
$95.00 / $95.00 / $95.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.00 / $2,080.00 / $2,374.87
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.57 / $118.66 / $124.22
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.00 / $2,374.87 / $2,374.87
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$155.00 / $155.00 / $329.00