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Wisconsin 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
$27.58 / $27.58 / $27.58
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.27 / $30.30 / $38.96
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.51 / $52.26 / $86.47
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.75 / $44.18 / $58.43
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.18 / $101.67 / $101.67
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.06 / $127.96 / $198.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.70 / $70.01 / $89.93
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.24 / $40.52 / $54.64
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.70 / $47.51 / $57.01
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.54 / $49.64 / $218.60
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.45 / $24.72 / $55.08
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.91 / $55.00 / $85.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.24 / $41.37 / $54.64
Prevea360
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.70 / $47.51 / $57.01
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.51 / $73.12 / $123.46
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.06 / $92.80 / $218.60
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.70 / $29.06 / $248.81
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.51 / $47.51 / $47.51
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.51 / $47.51 / $47.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.10 / $23.70 / $47.51