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Massachusetts rates for HCPCS A5131

Appliance cleaner, incontinence and ostomy appliances, per 16 oz

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.91 / $8.91 / $8.91
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.91 / $12.02 / $21.88
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.20 / $22.91 / $104.71
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.71 / $15.85 / $22.91
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.45 / $14.45 / $43.65
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.13 / $14.45 / $14.45
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.02 / $13.18 / $18.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.22 / $11.22 / $16.22
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.18 / $4,897.79 / $9,772.37
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.50 / $19.50 / $29.51
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.08 / $7.08 / $7.08
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.20 / $22.91 / $104.71
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.71 / $16.98 / $25.12
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.02 / $8.51 / $12.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.51 / $12.59 / $19.50