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South Carolina 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
Facility
Modifier
Low / Median / High Price
$1,445.44 / $1,445.44 / $1,445.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,412.54 / $1,445.44 / $1,479.11
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.25 / $933.25 / $1,202.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$478.63 / $478.63 / $1,380.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.38 / $407.38 / $1,000.00
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$891.25 / $1,513.56 / $1,949.84
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.19 / $251.19 / $1,513.56
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $30.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.62 / $575.44 / $616.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.59 / $436.52 / $602.56