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Alabama rates for HCPCS A5055

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.46 / $1.46 / $1.46
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.17 / $1.46 / $1.52
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.21 / $1.21 / $1.21
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$185.34 / $224.92 / $302.58
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.50 / $1.50 / $1.50
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
$0.56 / $0.85 / $1.36