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Arizona 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
$16.98 / $34.67 / $97.72
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.66 / $97.72 / $204.17
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.65 / $57.54 / $109.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.44 / $23.44 / $23.44
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.49 / $44.67 / $257.04
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.05 / $23.99 / $363.08
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.49 / $21.88 / $36.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.05 / $23.99 / $36.31