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New Hampshire rates for HCPCS A5105

Urinary suspensory with leg bag, with or without tube, each

Facilitymedian $26 · 10th–90th $26–$300%20%40%90th$26Professionalmedian $38 · 10th–90th $24–$690%20%10th90th$38$20.0$50.0$100.0$200.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$25.70 / $25.70 / $30.20
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.99 / $26.92 / $77.62
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.18 / $28.18 / $28.18
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$38.02 / $38.02 / $38.02
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.44 / $23.44 / $38.02
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$42.66 / $42.66 / $77.62
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.88 / $19.05 / $28.18
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.62 / $29.51 / $42.66
Well Sense
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$40.74 / $40.74 / $64.57