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Maine rates for HCPCS A5131

Appliance cleaner, incontinence and ostomy appliances, per 16 oz

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.68 / $12.70 / $12.70
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.11 / $10.11 / $10.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.79 / $13.30 / $17.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.31 / $11.31 / $16.32
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.05 / $18.05 / $18.05
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.64 / $12.70 / $16.82
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.52 / $8.52 / $8.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.36 / $11.05 / $25.42