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New York rates for HCPCS A5131

Appliance cleaner, incontinence and ostomy appliances, per 16 oz

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.64 / $10.82 / $20.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.07 / $10.82 / $20.94
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.11 / $11.92 / $26.94
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.16 / $18.45 / $18.45
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.45 / $18.45 / $18.45
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
Facility
Modifier
Low / Median / High Price
$22.15 / $49.84 / $332.00
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.22 / $15.95 / $39.21
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.14 / $8.14 / $8.14
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.14 / $16.02 / $16.02
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.29 / $12.29 / $12.29
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.92 / $13.30 / $555.00
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.31 / $13.30 / $27.19
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.52 / $10.08 / $14.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.36 / $11.05 / $19.09
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.86 / $16.02 / $16.02
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.14 / $16.02 / $16.02