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Connecticut rates for HCPCS A5105

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.65 / $36.65 / $36.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.79 / $36.65 / $37.40
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.37 / $28.37 / $28.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.24 / $23.24 / $23.24
ConnectiCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.03 / $37.03 / $37.03
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.03 / $37.03 / $52.41
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.00 / $27.00 / $27.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.69 / $28.42 / $49.85