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North Dakota 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
$30.20 / $34.67 / $34.67
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.20 / $28.84 / $39.81
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.81 / $53.70 / $58.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.95 / $54.95 / $69.18
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.44 / $46.77 / $218.78
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.62 / $22.91 / $47.86
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.88 / $21.88 / $21.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.22 / $23.99 / $51.29