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Texas rates for HCPCS A5131

Appliance cleaner, incontinence and ostomy appliances, per 16 oz

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.05 / $14.35 / $16.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.86 / $14.54 / $19.39
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.66 / $12.65 / $14.15
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.54 / $10.54 / $11.83
Baylor Scott & White
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.69 / $17.72 / $27.38
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.15 / $22.15 / $22.15
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 / $13.30
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$102.21 / $105.21 / $105.21
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.31 / $110.31 / $166.13
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.07 / $16.01 / $22.15
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.48 / $18.82 / $22.15
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.07 / $15.86 / $22.15
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.31 / $11.31 / $16.32
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.45 / $8.61 / $10.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.83 / $10.22 / $13.48
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.11 / $10.11 / $22.15