go back

California rates for HCPCS A5131

Appliance cleaner, incontinence and ostomy appliances, per 16 oz

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.01 / $6.03 / $95.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.03 / $12.88 / $85.11
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.59 / $9.55 / $23.99
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.00 / $10.00 / $24.55
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.44 / $32.36 / $46.77
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.55 / $41.69 / $79.43
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.02 / $13.18 / $15.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.22 / $11.22 / $13.18
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.20 / $22.39 / $30.20
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.88 / $20.42 / $39.81
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$104.71 / $104.71 / $104.71
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.65 / $165.96 / $165.96
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.39 / $22.39 / $22.39
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.46 / $19.95 / $27.54
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.22 / $11.22 / $18.20
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.69 / $41.69 / $41.69
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.04 / $0.06 / $20.42
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.55 / $8.51 / $10.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.51 / $10.00 / $22.39