go back

Delaware rates for HCPCS A5131

Appliance cleaner, incontinence and ostomy appliances, per 16 oz

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.41 / $13.57 / $17.68
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.92 / $11.92 / $13.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.31 / $11.31 / $11.92
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.08 / $10.08 / $14.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.36 / $11.05 / $16.64