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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
$8.91 / $12.88 / $44.67
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.00 / $10.00 / $14.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.18 / $13.18 / $17.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.22 / $11.22 / $16.22
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.50 / $19.50 / $23.44
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.91 / $14.13 / $44.67
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.03 / $8.51 / $8.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.41 / $11.48 / $19.95