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California rates for HCPCS A5131

Appliance cleaner, incontinence and ostomy appliances, per 16 oz

Facilitymedian $10 · 10th–90th $8$300%20%10th90th$10Professionalmedian $13 · 10th–90th $7$850%10%20%10th90th$13$0.1$0.2$1.0$5.0$20.0$100.0$500.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.01 / $6.03 / $95.50
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.03 / $12.88 / $85.11
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.59 / $9.55 / $23.99
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.00 / $10.00 / $26.92
Blue Shield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$23.44 / $30.90 / $46.77
Blue Shield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.89 / $40.74 / $83.18
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.02 / $13.18 / $15.14
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.22 / $11.22 / $13.80
Contra Costa Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.20 / $22.39 / $30.20
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.49 / $20.42 / $37.15
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$104.71 / $104.71 / $104.71
Lucent Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$112.20 / $165.96 / $165.96
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.39 / $22.39 / $22.39
Optum
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$54.95 / $54.95 / $70.79
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.46 / $19.95 / $27.54
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.22 / $11.22 / $18.20
Sutter Health Plus
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$41.69 / $41.69 / $41.69
The Alliance
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.04 / $0.06 / $20.42
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.55 / $8.51 / $10.00
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.51 / $10.00 / $22.91