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Minnesota 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
$36.33 / $36.33 / $36.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.67 / $36.33 / $41.22
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $60.82 / $80.11
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.58 / $55.05 / $56.97
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$117.25 / $198.63 / $488.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.00 / $69.95 / $83.82
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$104.41 / $168.74 / $384.63
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.00 / $66.00 / $68.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.05 / $56.97 / $257.45
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.10 / $26.82 / $62.67
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.92 / $29.90 / $88.80