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South Carolina 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
Facility
Modifier
Low / Median / High Price
$15.05 / $15.05 / $15.05
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.44 / $15.05 / $17.69
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.00 / $16.39 / $22.66
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.59 / $13.30 / $13.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.31 / $11.92 / $16.32
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.44 / $16.55 / $29.57
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.00 / $13.00 / $13.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.71 / $12.71 / $3,000.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.14 / $8.61 / $14.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.26 / $8.94 / $11.92