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Montana 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
$48.88 / $164.37 / $164.37
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47,000.00 / $81,499.99 / $94,999.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.03 / $57.73 / $57.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.26 / $57.73 / $57.73
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.72 / $54.98 / $57.73
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.26 / $44.28 / $57.77
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.83 / $24.16 / $27.65