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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
$1,445.44 / $1,445.44 / $1,445.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,412.54 / $1,445.44 / $3,630.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$478.63 / $478.63 / $478.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.38 / $407.38 / $501.19
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $645.65 / $831.76
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.78 / $630.96 / $912.01
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$851.14 / $870.96 / $891.25
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.65 / $891.25 / $1,023.29
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$323.59 / $512.86 / $575.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.00 / $389.05 / $602.56