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Delaware 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
$26.92 / $33.88 / $97.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.44 / $23.44 / $23.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.05 / $25.70 / $36.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.70 / $30.90 / $42.66