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Montana rates for HCPCS L8606

Injectable Bulking Agent Synthetic Implant Urinary Tract 1 Ml Syringe Includes Shipping And Necessary Supplies (Special Coverage Instructions Apply. See Cim: 65.9)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,404.00 / $3,450.00 / $9,999.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$142.53 / $142.53 / $268.85
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47,000.00 / $81,499.99 / $94,999.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$195.78 / $278.10 / $278.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$195.78 / $278.10 / $278.10
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$132.32 / $264.86 / $278.10
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.73 / $213.36 / $289.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.02 / $118.40 / $187.78