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Massachusetts 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
$21.15 / $21.15 / $21.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.15 / $21.15 / $38.79
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.23 / $102.69 / $270.61
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.92 / $34.19 / $49.18
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.21 / $31.21 / $92.69
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.68 / $31.68 / $33.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.44 / $26.44 / $38.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.24 / $23.24 / $66.00
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.43 / $4,618.00 / $9,239.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.47 / $39.47 / $41.45
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.00 / $27.00 / $27.00
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$116.14 / $270.61 / $270.61
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.61 / $24.19 / $65.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.92 / $27.72 / $54.53