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Georgia 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
$36.07 / $36.07 / $36.07
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.79 / $36.07 / $45.25
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.37 / $47.37 / $105.39
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.17 / $48.42 / $105.39
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.17 / $42.17 / $42.17
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.26 / $63.26 / $63.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.24 / $23.24 / $66.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.30 / $56.97 / $75.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.95 / $27.23 / $55.76