go back

Wisconsin 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
$1,408.74 / $1,408.74 / $1,408.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,408.74 / $1,461.57 / $1,760.93
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$864.65 / $951.12 / $1,573.66
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$804.12 / $1,080.81 / $1,467.44
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$622.02 / $1,850.35 / $1,850.35
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$482.77 / $2,579.00 / $3,609.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$410.35 / $1,440.04 / $1,636.41
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$691.72 / $1,408.74 / $2,113.11
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$843.92 / $864.65 / $1,037.58
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$864.65 / $1,496.79 / $4,027.33
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$402.02 / $580.74 / $963.60
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $70.00 / $551.14
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$712.52 / $1,408.74 / $2,113.11
Prevea360
Facility/Professional
Professional
Modifier
Low / Median / High Price
$843.92 / $864.65 / $1,037.58
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$864.65 / $1,330.65 / $2,312.52
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$482.77 / $1,688.76 / $4,027.33
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$410.35 / $482.77 / $4,361.83
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$864.65 / $864.65 / $864.65
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$864.65 / $864.65 / $864.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$344.46 / $551.14 / $864.65