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Minnesota 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
Facility
Modifier
Low / Median / High Price
$12.01 / $12.01 / $12.01
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.68 / $12.01 / $16.11
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $20.09 / $26.47
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.06 / $17.89 / $18.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.30 / $57.93 / $160.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.75 / $23.06 / $27.62
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.40 / $55.59 / $126.70
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.75 / $21.75 / $22.40
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.25 / $18.82 / $102.21
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.26 / $9.39 / $20.26
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.02 / $7.24 / $10.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.26 / $9.39 / $20.71