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North Carolina rates for HCPCS A5131

Appliance cleaner, incontinence and ostomy appliances, per 16 oz

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.69 / $17.69 / $17.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.64 / $17.69 / $17.69
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.39 / $29.96 / $36.90
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.51 / $15.15 / $15.15
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.92 / $13.30 / $13.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.31 / $13.30 / $21.75
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.07 / $17.69 / $24.04
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.00 / $13.00 / $13.46
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.60 / $26.60 / $40.90
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.24 / $8.52 / $10.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.24 / $9.59 / $14.62
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $105.21 / $105.21
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.31 / $110.31 / $166.13