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Vermont rates for HCPCS A5131

Appliance cleaner, incontinence and ostomy appliances, per 16 oz

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.03 / $12.88 / $14.13
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.78 / $17.78 / $17.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.02 / $13.18 / $13.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.22 / $11.22 / $13.18
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.38 / $21.88 / $22.39
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.71 / $8.71 / $10.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.59 / $13.49 / $45.71