go back

Utah rates for HCPCS A5105

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

Facilitymedian $15 · 10th–90th $15–$190%50%90th$15Professionalmedian $37 · 10th–90th $15–$2450%10%20%10th90th$37$0.5$2.0$10.0$50.0$200.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.14 / $15.14 / $15.14
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $36.31 / $245.47
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.44 / $23.44 / $39.81
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.30 / $38.02 / $51.29
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$37.15 / $37.15 / $54.95
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$51.29 / $51.29 / $57.54
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$39.81 / $52.48 / $69.18
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.05 / $21.88 / $22.39
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.05 / $23.99 / $42.66