go back

Massachusetts rates for HCPCS A5102

Bedside drainage bottle with or without tubing, rigid or expandable, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.68 / $13.68 / $13.68
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.68 / $13.68 / $22.92
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.11 / $66.42 / $148.63
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.22 / $21.22 / $30.56
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.53 / $22.53 / $66.91
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.25 / $22.25 / $22.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.00 / $18.95 / $18.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.11 / $18.95 / $36.38
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.43 / $4,618.00 / $9,239.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.53 / $25.53 / $26.81
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.46 / $14.46 / $14.46
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.01 / $148.63 / $148.63
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.41 / $15.62 / $42.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.00 / $15.62 / $31.29