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Connecticut rates for HCPCS A5055

Stoma cap

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.28 / $1.28 / $1.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.86 / $1.28 / $1.38
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.99 / $0.99 / $0.99
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 / $1.03
ConnectiCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.29 / $1.29 / $1.93
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.29 / $1.39 / $1.93
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.18 / $1.18 / $1.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.75 / $0.95 / $1.23