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Idaho 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
Professional
Modifier
Low / Median / High Price
$6.07 / $25.54 / $25.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.38 / $13.30 / $13.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.31 / $11.31 / $16.32
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.07 / $15.93 / $25.54
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.95 / $18.82 / $18.82
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.57 / $18.82 / $32.95
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.18 / $13.75 / $19.77
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.61 / $14.10 / $14.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.61 / $8.94 / $13.81