go back

Iowa rates for HCPCS A5105

Urinary Suspensory; With Or Without Leg Bag With Or Without Tube Each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.33 / $36.33 / $41.22
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.72 / $36.07 / $47.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$62.67 / $62.67 / $62.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.15 / $66.00 / $82.50
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.12 / $70.37 / $79.81
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.90 / $65.59 / $257.45
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.16 / $28.73 / $74.06
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.26 / $62.67 / $74.06
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.23 / $65.11 / $101.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.17 / $28.42 / $56.97
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.27 / $51.27 / $51.27
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.50 / $51.27 / $51.27