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Connecticut rates for HCPCS A5055

Stoma cap

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $1.00 / $1.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.00 / $2.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.00 / $1.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.20 / $1.20 / $1.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.02 / $1.02 / $1.02
ConnectiCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.29 / $1.29 / $1.95
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.29 / $1.48 / $2.00
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.17 / $1.17 / $1.17
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.91 / $0.91 / $1.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.72 / $1.00 / $1.38