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South Carolina 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
$38.02 / $38.02 / $38.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.91 / $34.67 / $48.98
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.62 / $48.98 / $57.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$87.10 / $87.10 / $87.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.44 / $23.44 / $77.62
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.54 / $36.31 / $40.74
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.90 / $44.67 / $87.10
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.49 / $15.49 / $19.05
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $32.36 / $32.36
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.05 / $28.18 / $36.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.62 / $23.99 / $30.90