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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
$31.82 / $31.82 / $38.24
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.28 / $31.35 / $31.82
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.79 / $46.79 / $46.79
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.83 / $46.79 / $46.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.27 / $41.27 / $41.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.24 / $23.24 / $66.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.59 / $33.40 / $257.45
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.10 / $27.29 / $52.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.37 / $24.84 / $34.65