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Tennessee rates for HCPCS A5131

Appliance cleaner, incontinence and ostomy appliances, per 16 oz

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.44 / $10.44 / $12.97
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.64 / $12.80 / $17.69
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.14 / $13.14 / $13.14
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.05 / $18.19 / $18.19
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 / $11.31 / $16.32
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.22 / $102.21 / $105.21
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.31 / $110.31 / $166.13
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.48 / $10.08 / $10.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.72 / $9.41 / $14.48