go back

Hawaii 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
$27.82 / $27.82 / $27.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.97 / $70.97 / $70.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.26 / $98.27 / $98.27
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.34 / $93.55 / $93.55
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.69 / $89.34 / $125.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.65 / $88.45 / $98.27
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.98 / $74.43 / $85.04