go back

Virginia 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
$11.63 / $11.63 / $14.97
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.75 / $11.63 / $14.97
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.11 / $10.11 / $13.46
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.60 / $12.60 / $15.14
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 / $13.70
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.61 / $18.82 / $26.36
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.07 / $13.14 / $23.26
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.00 / $24.73 / $31.36
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.41 / $14.90 / $27.73
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.41 / $14.90 / $27.73
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.14 / $8.52 / $10.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.49 / $9.39 / $15.86