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Nationwide rates for HCPCS A5055

Stoma Cap (Special Coverage Instructions Apply. See Mcm: 2130)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.20 / $1.28 / $1.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.91 / $1.26 / $1.62
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.99 / $0.99 / $2.25
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.99 / $0.99 / $1.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.21 / $1.21 / $1.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.03 / $1.03 / $2.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.67 / $0.95 / $1.44