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Missouri 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
$23.18 / $37.75 / $54.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.18 / $31.99 / $54.09
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.37 / $28.37 / $44.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.24 / $23.24 / $23.24
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.16 / $48.71 / $257.45
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.01 / $27.00 / $65.06
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.01 / $27.00 / $55.08