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Illinois 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
$31.99 / $31.99 / $31.99
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.57 / $31.99 / $54.09
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$68.37 / $143.90 / $499.25
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.38 / $42.73 / $42.73
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.26 / $53.26 / $53.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.24 / $23.24 / $66.66
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.97 / $74.68 / $96.75
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.06 / $74.06 / $74.06
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.13 / $77.48 / $85.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.36 / $28.42 / $49.91