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Florida rates for HCPCS A5055

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.91 / $1.12 / $1.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.91 / $1.26 / $1.52
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.17 / $1.17 / $1.31
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 / $1.21
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.30 / $5.27 / $8.85
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.50 / $2.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.84 / $1.30 / $1.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.70 / $0.96 / $1.17
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.30 / $1.30 / $1.58