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Virginia 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
$29.93 / $29.93 / $38.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.93 / $29.93 / $40.40
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.37 / $28.37 / $37.77
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.42 / $32.42 / $38.94
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.90 / $41.27 / $41.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.24 / $23.24 / $34.65
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.73 / $48.42 / $67.79
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.59 / $33.82 / $57.87
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.00 / $63.60 / $80.66
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.93 / $38.31 / $71.33
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.93 / $38.31 / $71.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.83 / $24.56 / $42.80