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Maine 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
$21.15 / $27.78 / $27.78
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.37 / $28.53 / $28.53
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.35 / $38.11 / $41.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.24 / $23.24 / $40.26
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.47 / $39.47 / $39.47
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.45 / $27.78 / $27.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.61 / $24.16 / $67.04