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Oklahoma rates for HCPCS A5131

Appliance cleaner, incontinence and ostomy appliances, per 16 oz

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.19 / $13.19 / $15.86
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.99 / $12.99 / $13.19
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.39 / $19.39 / $19.39
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.20 / $19.39 / $19.39
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 / $11.92 / $16.32
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.07 / $13.85 / $102.21
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.26 / $10.43 / $21.91
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.39 / $9.39 / $9.39
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.26 / $9.39 / $13.48