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Minnesota 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
$30.30 / $30.30 / $30.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.62 / $30.30 / $35.19
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $50.72 / $66.81
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.01 / $46.08 / $47.51
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.06 / $146.91 / $408.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.13 / $58.43 / $70.01
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$87.22 / $140.94 / $321.27
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.13 / $55.13 / $56.80
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.64 / $47.51 / $218.60
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.68 / $22.77 / $53.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.68 / $22.91 / $47.70