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Pennsylvania rates for HCPCS A5105

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

Facilitymedian $45 · 10th–90th $27$510%20%40%10th90th$45Professionalmedian $34 · 10th–90th $21$540%20%10th90th$34$1.0$10.0$100.0$1.0K$10.0K

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
$26.92 / $44.67 / $44.67
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.89 / $33.88 / $52.48
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,011.87 / $8,511.38 / $77,624.71
Capital Blue Cross
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$57.54 / $57.54 / $57.54
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$123.03 / $123.03 / $123.03
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.44 / $23.44 / $23.44
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$53.70 / $75.86 / $109.65
Geisinger
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$57.54 / $57.54 / $57.54
Geisinger
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.84 / $34.67 / $57.54
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$26.92 / $26.92 / $26.92
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.89 / $33.88 / $48.98
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.60 / $77.62 / $112.20
UPMC Health Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$40.74 / $40.74 / $53.70
UPMC Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$40.74 / $51.29 / $54.95
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.05 / $25.70 / $36.31
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.95 / $28.18 / $57.54