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Alaska rates for HCPCS A5105

Urinary suspensory with leg bag, with or without tube, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.51 / $79.51 / $79.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.24 / $23.24 / $23.24
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.59 / $15.59 / $15.59
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.00 / $79.36 / $145.26
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49.88 / $49.88 / $81.58
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.52 / $81.58 / $168.23
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.59 / $15.59 / $49.88
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.26 / $66.37 / $168.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.68 / $79.88 / $145.87