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New Jersey 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
$27.82 / $27.82 / $27.82
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.45 / $27.82 / $40.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.24 / $23.24 / $66.00
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.04 / $52.41 / $74.63
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.90 / $37.90 / $37.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.16 / $28.42 / $44.29