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North Carolina rates for HCPCS A5131

Appliance cleaner, incontinence and ostomy appliances, per 16 oz

Facilitymedian $18 · 10th–90th $9–$420%10%20%10th90th$18Professionalmedian $15 · 10th–90th $10–$170%20%10th90th$15$0.2$1.0$5.0$20.0$100.0$500.0

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16.98 / $16.98 / $16.98
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.00 / $14.13 / $16.98
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.95 / $27.54 / $27.54
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.49 / $15.49 / $16.98
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.59 / $13.18 / $13.18
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.22 / $11.22 / $16.22
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.71 / $9.33 / $13.49
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9.55 / $18.20 / $29.51
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.60 / $0.60 / $0.60
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.08 / $8.71 / $14.13
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.76 / $10.00 / $14.45
Wellcare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$104.71 / $104.71 / $104.71
Wellcare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$112.20 / $112.20 / $165.96