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Oregon rates for HCPCS A5131

Appliance Cleaner Incontinence And Ostomy Appliances Per 16 Oz. (Special Coverage Instructions Apply. See Mcm: 2130)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.50 / $13.80 / $63.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.30 / $13.30 / $13.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.31 / $11.31 / $16.32
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.30 / $39.77 / $48.62
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.48 / $16.50 / $20.71
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.00 / $14.87 / $18.82
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.95 / $18.82 / $20.71
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.46 / $18.82 / $20.47
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.17 / $16.48 / $18.91
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.31 / $16.48 / $20.71
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.41 / $20.71 / $20.71
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.52 / $8.52 / $8.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.94 / $9.39 / $17.92