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Montana rates for HCPCS A5131

Appliance cleaner, incontinence and ostomy appliances, per 16 oz

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.52 / $63.88 / $63.88
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.98 / $19.98 / $19.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.30 / $21.49 / $21.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.70 / $21.49 / $21.49
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.78 / $20.47 / $21.49
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.16 / $16.32 / $21.50
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.45 / $7.45 / $8.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.49 / $9.39 / $10.75