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California rates for HCPCS A5112

Urinary drainage bag, leg or abdomen, latex, with or without tube, with straps, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.02 / $14.13 / $208.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.13 / $26.92 / $186.21
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.22 / $20.42 / $51.29
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.38 / $21.38 / $56.23
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.29 / $70.79 / $102.33
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.70 / $91.20 / $154.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.54 / $28.84 / $34.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.55 / $24.55 / $28.84
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.81 / $48.98 / $66.07
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.92 / $44.67 / $87.10
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$229.09 / $229.09 / $229.09
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.04 / $323.59 / $323.59
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.71 / $45.71 / $45.71
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.80 / $43.65 / $61.66
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.55 / $24.55 / $46.77
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.20 / $91.20 / $91.20
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.11 / $43.65 / $56.23
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.39 / $18.62 / $21.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.62 / $21.88 / $48.98