go back

Michigan 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
$23.99 / $23.99 / $23.99
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.88 / $19.05 / $26.92
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.81 / $95.50 / $181.97
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.62 / $31.62 / $33.11
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.42 / $20.42 / $20.42
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.05 / $19.05 / $19.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.22 / $19.05 / $37.15
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.55 / $30.20 / $66.07
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.05 / $25.70 / $38.90
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.05 / $19.05 / $19.05
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.22 / $19.05 / $23.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.12 / $12.30 / $19.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.47 / $14.79 / $22.39