go back

Georgia rates for HCPCS A5131

Appliance Cleaner Incontinence And Ostomy Appliances Per 16 Oz. (Special Coverage Instructions Apply. See Mcm: 2130)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.02 / $14.02 / $14.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.68 / $14.02 / $17.60
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.11 / $18.41 / $40.97
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.41 / $17.72 / $35.44
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.80 / $18.80 / $18.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.92 / $13.30 / $13.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.31 / $11.31 / $21.75
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.82 / $22.15 / $29.09
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.07 / $8.52 / $14.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.36 / $10.59 / $18.23