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Indiana rates for HCPCS A5131

Appliance cleaner, incontinence and ostomy appliances, per 16 oz

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.60 / $16.60 / $16.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.91 / $12.59 / $16.60
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.00 / $10.00 / $19.50
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.00 / $10.00 / $19.95
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.88 / $27.54 / $33.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.72 / $13.18 / $14.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.22 / $11.22 / $16.22
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.08 / $8.71 / $14.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.31 / $9.55 / $14.13