go back

Maryland 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
$9.68 / $14.02 / $17.69
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.60 / $12.60 / $15.14
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 / $11.31 / $16.32
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.51 / $22.15 / $31.90
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.07 / $8.52 / $14.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.09 / $11.05 / $17.52
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.11 / $10.11 / $15.51