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Maine rates for HCPCS A5131

Appliance cleaner, incontinence and ostomy appliances, per 16 oz

Facilitymedian $13 · 10th–90th $9–$170%20%40%10th90th$13Professionalmedian $14 · 10th–90th $9–$200%10%10th90th$14$10.0$20.0$50.0$100.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.91 / $12.88 / $44.67
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.00 / $10.00 / $14.79
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13.18 / $13.18 / $17.38
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.22 / $11.22 / $16.22
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.50 / $19.50 / $23.44
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.94 / $12.02 / $19.95
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.03 / $8.51 / $8.51
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.94 / $17.78 / $19.50