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South Carolina rates for HCPCS A5131

Appliance cleaner, incontinence and ostomy appliances, per 16 oz

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.14 / $15.14 / $15.14
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.91 / $12.88 / $16.98
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.14 / $15.14 / $15.14
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.88 / $19.05 / $23.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.47 / $13.18 / $34.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.22 / $11.22 / $21.88
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.33 / $12.02 / $13.49
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.75 / $17.38 / $33.88
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.03 / $6.03 / $7.41
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.59 / $12.59 / $12.59
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.41 / $8.71 / $14.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.24 / $9.33 / $12.02