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Connecticut rates for HCPCS A5105

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.31 / $36.31 / $36.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.89 / $34.67 / $48.98
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.18 / $28.84 / $30.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.44 / $23.44 / $23.44
ConnectiCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.15 / $37.15 / $37.15
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.15 / $40.74 / $57.54
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.92 / $26.92 / $26.92
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.70 / $25.70 / $36.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.89 / $28.18 / $42.66