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Utah 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
$1,461.57 / $1,461.57 / $1,461.57
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,443.96 / $1,461.57 / $2,434.92
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 / $1,012.40
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$396.43 / $639.41 / $831.23
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$487.05 / $613.11 / $919.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$359.22 / $385.44 / $598.70