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Montana 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 / $2,434.92 / $2,434.92
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$482.77 / $919.66 / $919.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$482.77 / $919.66 / $919.66
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$482.77 / $875.87 / $919.66
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$690.25 / $705.53 / $920.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$359.22 / $385.44 / $611.30