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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
$36.31 / $40.74 / $40.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.89 / $36.31 / $45.71
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.77 / $63.10 / $69.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.07 / $66.07 / $83.18
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.54 / $54.95 / $257.04
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.88 / $26.92 / $56.23
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.70 / $25.70 / $25.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.05 / $28.18 / $61.66