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Arizona rates for HCPCS A5105

Urinary Suspensory; With Or Without Leg Bag With Or Without Tube Each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.45 / $34.18 / $49.88
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.80 / $154.62 / $279.54
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.61 / $50.16 / $68.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.24 / $23.24 / $66.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.59 / $40.76 / $257.45
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.05 / $24.16 / $36.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.83 / $24.16 / $36.38