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Indiana 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
$41.26 / $41.26 / $48.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.24 / $27.94 / $41.26
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.47 / $21.47 / $41.44
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.47 / $21.47 / $29.62
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.29 / $50.57 / $72.23
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.94 / $52.98 / $65.02
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.06 / $29.06 / $29.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.70 / $29.06 / $49.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.68 / $22.95 / $34.46