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Vermont rates for HCPCS A5112

Urinary drainage bag, leg or abdomen, latex, with or without tube, with straps, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.98 / $28.26 / $28.26
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 / $28.35 / $29.93
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.06 / $29.06 / $29.06
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.70 / $28.35 / $29.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.46 / $31.43 / $48.35