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West Virginia rates for HCPCS A5105

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.42 / $31.42 / $31.42
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.93 / $31.42 / $38.50
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.03 / $71.20 / $99.70
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.72 / $39.88 / $59.53
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.26 / $63.26 / $63.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.24 / $23.24 / $265.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.16 / $28.53 / $50.95