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Kentucky 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
$18.85 / $25.50 / $29.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.85 / $30.22 / $48.80
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.86 / $28.53 / $28.53
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.21 / $69.95 / $94.00
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.13 / $64.48 / $81.86
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.26 / $63.26 / $63.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.24 / $30.33 / $265.14
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.78 / $33.88 / $64.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.50 / $24.75 / $39.26