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Pennsylvania rates for HCPCS A5131

Appliance cleaner, incontinence and ostomy appliances, per 16 oz

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.00 / $17.38 / $17.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.91 / $12.88 / $19.95
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.14 / $15.14 / $15.14
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,011.87 / $8,511.38 / $77,624.71
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.39 / $22.39 / $22.39
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.18 / $13.18 / $34.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.22 / $11.22 / $13.18
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.24 / $25.12 / $42.66
Geisinger
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.39 / $22.39 / $22.39
Geisinger
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.22 / $13.80 / $22.39
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.79 / $14.79 / $22.39
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.00 / $10.00 / $17.38
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.91 / $12.88 / $20.89
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.18 / $28.18 / $36.31
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.60 / $31.62 / $43.65
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.08 / $15.85 / $21.88
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.76 / $17.78 / $27.54
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.41 / $9.33 / $14.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.59 / $10.96 / $19.95