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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
$31.50 / $38.79 / $38.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.50 / $38.79 / $43.37
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.79 / $81.64 / $114.75
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.32 / $34.04 / $34.04
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.27 / $41.27 / $41.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.24 / $23.24 / $66.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.10 / $26.06 / $38.86