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Idaho rates for HCPCS A5055

Stoma cap

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.13 / $2.64 / $2.64
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.21 / $1.21 / $1.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.03 / $1.03 / $2.04
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.55 / $1.65 / $2.64
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.81 / $1.91 / $2.04
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.40 / $1.95 / $3.02
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.37 / $1.37 / $2.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.78 / $0.81 / $1.44