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Hawaii rates for HCPCS A5055

Stoma cap

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.97 / $0.97 / $0.97
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.62 / $1.62 / $1.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.38 / $2.25 / $2.25
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.04 / $2.15 / $2.15
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.44 / $2.04 / $2.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.14 / $1.62 / $2.54
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.39 / $1.70 / $1.95