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Tennessee 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
$28.84 / $33.11 / $51.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.99 / $34.67 / $48.98
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.66 / $42.66 / $45.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.44 / $23.44 / $23.44
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$269.15 / $269.15 / $269.15
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.19 / $426.58 / $426.58
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.60 / $22.91 / $31.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.22 / $26.30 / $33.88