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Arizona rates for HCPCS A5055

Stoma cap

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.63 / $1.17 / $1.76
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.47 / $1.71 / $3.08
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.17 / $1.56 / $2.13
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 / $2.25
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.55 / $1.39 / $80.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.68 / $0.85 / $1.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.73 / $0.85 / $1.28