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North Carolina 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
$49.88 / $49.88 / $49.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.07 / $49.88 / $49.88
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.88 / $84.50 / $104.06
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.47 / $42.73 / $42.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.24 / $23.24 / $82.50
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.59 / $49.88 / $67.79
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.00 / $37.00 / $37.95
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.40 / $68.40 / $105.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.69 / $28.42 / $48.42
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.46 / $270.61 / $270.61
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$375.93 / $375.93 / $427.28