go back

Alaska rates for HCPCS A5055

Stoma cap

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.85 / $1.85 / $1.85
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.21 / $1.21 / $1.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.03 / $1.03 / $1.03
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.55 / $0.55 / $0.55
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.85 / $1.91 / $6.03
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.76 / $1.76 / $1.90
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.54 / $1.90 / $3.93
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.55 / $0.55 / $1.62
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.36 / $1.62 / $3.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.94 / $0.97 / $1.86