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Michigan rates for HCPCS A5105

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

Facilitymedian $100 · 10th–90th $26–$2630%10%20%10th90th$100Professionalmedian $36 · 10th–90th $26–$580%10%10th90th$36$20.0$50.0$100.0$200.0$500.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$42.66 / $42.66 / $42.66
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.70 / $34.67 / $48.98
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$75.86 / $169.82 / $331.13
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$57.54 / $57.54 / $60.26
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$32.36 / $32.36 / $32.36
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.44 / $38.02 / $66.07
Health Alliance Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$42.66 / $107.15 / $120.23
Health Alliance Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.88 / $47.86 / $72.44
Priority Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.44 / $46.77 / $51.29
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16.22 / $22.39 / $36.31
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.05 / $26.92 / $40.74