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New Jersey rates for HCPCS A5131

Appliance cleaner, incontinence and ostomy appliances, per 16 oz

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.82 / $10.82 / $10.82
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.79 / $10.82 / $15.77
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
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.22 / $7.68 / $24.37
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.49 / $14.73 / $14.73
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.45 / $8.49 / $10.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.52 / $11.05 / $18.41