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West Virginia rates for HCPCS A5131

Appliance cleaner, incontinence and ostomy appliances, per 16 oz

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.38 / $10.38 / $10.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.38 / $11.63 / $14.97
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.24 / $23.54 / $32.95
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.24 / $15.49 / $26.56
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.92 / $13.30 / $25.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.31 / $13.30 / $105.27
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.20 / $13.20 / $13.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.52 / $8.52 / $14.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.09 / $10.61 / $16.85