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Connecticut rates for HCPCS A5131

Appliance cleaner, incontinence and ostomy appliances, per 16 oz

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.13 / $14.13 / $14.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.91 / $12.88 / $19.05
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.00 / $10.00 / $12.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.02 / $13.18 / $13.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.22 / $11.22 / $11.22
ConnectiCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.76 / $7.76 / $14.45
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.18 / $15.49 / $22.39
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.08 / $7.08 / $7.08
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.00 / $10.00 / $13.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.13 / $10.96 / $15.14