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Hawaii rates for HCPCS A5131

Appliance cleaner, incontinence and ostomy appliances, per 16 oz

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.91 / $10.00 / $15.14
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.18 / $13.18 / $19.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.18 / $22.39 / $31.62
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.12 / $25.12 / $26.30
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.78 / $25.12 / $29.51
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.24 / $8.51 / $8.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.00 / $17.78 / $27.54