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North Dakota 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
$41.22 / $41.22 / $41.22
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.31 / $36.33 / $41.22
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.98 / $62.64 / $64.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.00 / $66.66 / $83.82
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.72 / $41.22 / $257.45
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.57 / $28.18 / $45.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.92 / $39.40 / $57.47