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Arizona rates for HCPCS A5055

Stoma cap

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.00 / $8.13
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.47 / $1.10 / $2.29
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.38 / $1.78 / $3.39
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.20 / $1.20 / $1.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.02 / $1.02 / $1.20
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.55 / $1.45 / $79.43
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.68 / $0.85 / $9.77
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.66 / $0.78 / $2.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.68 / $0.85 / $1.29