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Kansas 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
$53.46 / $53.46 / $53.46
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.59 / $28.85 / $53.46
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$115.66 / $120.54 / $128.22
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.51 / $114.51 / $114.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.24 / $23.24 / $82.50
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.59 / $43.62 / $257.45
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.10 / $27.00 / $61.85
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.00 / $27.00 / $38.72