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Washington, DC 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
$38.50 / $38.50 / $38.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.50 / $38.50 / $38.50
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.42 / $32.42 / $38.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.24 / $23.24 / $23.24
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$113.08 / $113.08 / $113.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.95 / $28.42 / $49.91