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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
$30.90 / $30.90 / $57.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.89 / $34.67 / $57.54
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.61 / $128.82 / $501.19
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.11 / $42.66 / $42.66
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.95 / $54.95 / $54.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.44 / $23.44 / $66.07
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.98 / $74.13 / $97.72
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
$74.13 / $74.13 / $74.13
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.22 / $25.70 / $57.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.05 / $28.18 / $42.66