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Iowa rates for HCPCS A5055

Stoma cap

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.28 / $1.28 / $1.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.59 / $1.27 / $1.67
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.21 / $1.21 / $2.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.44 / $2.25 / $2.81
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.00 / $3.61 / $4.09
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.35 / $2.36 / $80.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.78 / $1.01 / $2.74
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.17 / $2.21 / $2.61
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.73 / $2.42 / $4.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.78 / $1.00 / $2.62
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.81 / $1.81 / $1.81
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.43 / $1.81 / $1.81