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Maryland rates for HCPCS A5105

Urinary suspensory with leg bag, with or without tube, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.79 / $36.07 / $49.88
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.42 / $32.42 / $38.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.24 / $23.24 / $23.24
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.88 / $56.97 / $82.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.16 / $28.42 / $45.07
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.53 / $28.53 / $39.88