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Hawaii rates for HCPCS A5112

Urinary Drainage Bag Leg Or Abdomen Latex With Ithout Tube With Straps Each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.09 / $20.09 / $20.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.08 / $48.08 / $48.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.34 / $36.34 / $66.58
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.53 / $63.38 / $63.38
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.32 / $60.53 / $84.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.70 / $48.08 / $66.58
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.32 / $50.43 / $57.61