go back

Virginia 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
$26.92 / $26.92 / $28.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.38 / $26.92 / $41.69
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.38 / $21.38 / $44.67
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.44 / $23.44 / $28.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.84 / $28.84 / $28.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.55 / $24.55 / $28.84
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.62 / $45.71 / $69.18
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.99 / $31.62 / $46.77
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.20 / $33.88 / $57.54
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.30 / $28.18 / $32.36
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.11 / $42.66 / $141.25
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.11 / $42.66 / $141.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.49 / $18.62 / $23.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.95 / $23.99 / $34.67