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New Hampshire 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
$21.98 / $21.98 / $26.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.27 / $20.17 / $29.03
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
$29.06 / $29.06 / $29.06
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 / $105.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.91 / $20.86 / $25.44
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.13 / $30.94 / $39.38