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Florida 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
$21.83 / $27.31 / $36.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.83 / $35.11 / $49.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.45 / $33.45 / $33.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.24 / $23.24 / $23.24
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.14 / $139.53 / $282.58
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.26 / $35.00 / $48.42
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.04 / $15.45 / $16.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.47 / $24.16 / $34.65
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.45 / $15.45 / $28.53