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Oklahoma 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
$30.90 / $30.90 / $30.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.85 / $33.88 / $48.98
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.77 / $46.77 / $46.77
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.62 / $46.77 / $46.77
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.88 / $33.88 / $42.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.44 / $23.44 / $53.70
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.54 / $38.02 / $165.96
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.22 / $25.70 / $64.57
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.05 / $22.39 / $54.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.22 / $23.99 / $34.67