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New Hampshire rates for HCPCS A5131

Appliance cleaner, incontinence and ostomy appliances, per 16 oz

Facilitymedian $12 · 10th–90th $12–$140%20%40%90th$12Professionalmedian $15 · 10th–90th $10–$250%20%10th90th$15$10.0$20.0$50.0$100.0

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
$11.75 / $11.75 / $14.13
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.91 / $11.75 / $25.12
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.00 / $10.00 / $10.47
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.02 / $13.18 / $17.38
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.22 / $11.22 / $13.80
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.50 / $19.50 / $35.48
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.75 / $7.41 / $8.91
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.76 / $12.59 / $19.50
Well Sense
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$18.62 / $18.62 / $29.51