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Louisiana 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
$38.02 / $38.02 / $38.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.89 / $36.31 / $46.77
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.86 / $81.28 / $114.82
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.88 / $33.88 / $33.88
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.81 / $39.81 / $39.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.66 / $42.66 / $42.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.44 / $23.44 / $53.70
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.22 / $22.91 / $28.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.22 / $25.70 / $34.67