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Nebraska rates for HCPCS A5131

Appliance cleaner, incontinence and ostomy appliances, per 16 oz

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.59 / $15.59 / $15.59
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.59 / $15.59 / $15.59
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.55 / $18.21 / $18.39
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.92 / $20.71 / $20.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.30 / $20.71 / $31.93
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.14 / $21.62 / $102.21
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.17 / $9.39 / $15.65
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.64 / $20.71 / $26.09
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.75 / $24.83 / $42.65
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.14 / $0.14 / $10.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.81 / $9.39 / $14.15