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South Carolina rates for HCPCS A5105

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.72 / $38.72 / $38.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.18 / $38.72 / $49.88
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.50 / $39.38 / $56.27
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.26 / $63.26 / $63.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.24 / $23.24 / $23.24
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.26 / $43.00 / $78.34
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.00 / $37.00 / $37.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.72 / $32.72 / $3,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.37 / $24.16 / $31.19