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Rhode Island rates for HCPCS A5105

Urinary Suspensory; With Or Without Leg Bag With Or Without Tube Each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.72 / $21.15 / $36.65
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.54 / $108.78 / $128.78
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.44 / $29.93 / $50.07
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.44 / $26.44 / $26.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.24 / $23.24 / $23.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.95 / $32.53 / $47.37