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Wisconsin rates for HCPCS A5131

Appliance cleaner, incontinence and ostomy appliances, per 16 oz

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.00 / $10.00 / $10.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.91 / $10.96 / $16.98
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.05 / $19.05 / $31.62
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.79 / $17.78 / $21.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.18 / $58.88 / $93.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.22 / $26.92 / $36.31
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.72 / $16.60 / $27.54
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.98 / $28.18 / $35.48
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.96 / $18.62 / $102.33
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.71 / $10.96 / $22.39
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.02 / $33.11 / $70.79
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.05 / $28.84 / $58.88
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.18 / $38.02 / $104.71
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.22 / $22.39 / $109.65
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.05 / $19.05 / $19.05
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.05 / $19.05 / $19.05
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.51 / $9.33 / $14.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.41 / $9.33 / $16.22