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Idaho 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
$32.27 / $77.31 / $77.31
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.68 / $36.68 / $36.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.24 / $23.24 / $57.73
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.59 / $42.80 / $77.31
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.58 / $54.12 / $56.97
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.05 / $56.97 / $99.70
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.88 / $39.88 / $59.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.33 / $24.16 / $44.14