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Alaska rates for HCPCS A5131

Appliance cleaner, incontinence and ostomy appliances, per 16 oz

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.03 / $12.88 / $25.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.18 / $13.18 / $13.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.22 / $11.22 / $13.80
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.03 / $21.88 / $22.39
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.20 / $22.39 / $60.26
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.98 / $22.91 / $22.91
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.62 / $22.91 / $28.84
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.03 / $6.03 / $22.39
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.22 / $14.45 / $60.26
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.41 / $7.41 / $8.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.22 / $11.48 / $45.71