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Maine 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
$15.62 / $23.99 / $23.99
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.47 / $21.47 / $21.47
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.65 / $29.06 / $32.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.70 / $24.70 / $36.34
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.10 / $34.10 / $34.10
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.27 / $23.99 / $23.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.91 / $20.86 / $47.98