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Vermont 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
Professional
Modifier
Low / Median / High Price
$11.64 / $14.97 / $14.97
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.92 / $17.92 / $17.92
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 / $11.92 / $13.70
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.92 / $13.30 / $13.30
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.31 / $12.97 / $13.70
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.08 / $10.08 / $10.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.36 / $13.48 / $25.61