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Vermont rates for HCPCS A5105

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.45 / $32.72 / $32.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.24 / $23.24 / $33.15
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.24 / $23.24 / $33.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.81 / $36.38 / $55.96