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New Hampshire rates for HCPCS A5131

Appliance cleaner, incontinence and ostomy appliances, per 16 oz

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.64 / $11.64 / $13.97
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.68 / $10.86 / $12.70
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.11 / $10.11 / $10.11
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 / $11.31 / $16.32
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.05 / $18.05 / $55.74
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.79 / $8.52 / $9.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.36 / $11.05 / $13.48
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.90 / $16.39 / $20.86