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Louisiana rates for HCPCS A5131

Appliance cleaner, incontinence and ostomy appliances, per 16 oz

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.80 / $13.30 / $13.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.80 / $13.30 / $14.87
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.38 / $27.99 / $39.34
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.74 / $11.67 / $11.67
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
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 / $11.92 / $16.32
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.52 / $8.61 / $14.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.26 / $8.76 / $14.11