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Massachusetts 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
$18.20 / $18.20 / $18.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.20 / $26.92 / $52.48
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.15 / $42.66 / $229.09
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.62 / $34.67 / $58.88
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.92 / $26.92 / $81.28
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.30 / $27.54 / $27.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.91 / $28.84 / $29.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.55 / $24.55 / $31.62
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.18 / $4,897.79 / $9,772.37
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.31 / $36.31 / $56.23
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.85 / $15.85 / $15.85
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.15 / $42.66 / $229.09
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.05 / $34.67 / $64.57
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.03 / $18.62 / $26.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.98 / $25.12 / $40.74