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Oregon rates for HCPCS A5105

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.72 / $35.50 / $164.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.24 / $23.24 / $40.26
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.89 / $102.28 / $125.03
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.65 / $42.44 / $53.26
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.00 / $38.25 / $50.84
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.43 / $48.42 / $56.97
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.31 / $54.98 / $56.97
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.24 / $42.44 / $49.88
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.24 / $42.40 / $56.75
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.09 / $53.26 / $53.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.99 / $24.16 / $46.09