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Indiana 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
$48.80 / $48.80 / $56.97
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.28 / $36.15 / $48.80
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.37 / $28.37 / $54.75
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.37 / $28.37 / $39.15
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.73 / $62.01 / $79.76
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.42 / $62.67 / $76.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.24 / $23.24 / $58.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.10 / $28.18 / $40.76