go back

Maine rates for HCPCS L8605

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,461.57 / $1,496.79 / $1,496.79
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,537.18 / $4,537.18 / $4,537.18
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.96 / $1,467.44 / $1,496.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$482.77 / $482.77 / $482.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$410.35 / $410.35 / $482.77
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$683.29 / $683.29 / $683.29
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,496.79 / $1,496.79 / $1,496.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$299.35 / $580.74 / $968.22