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Illinois rates for HCPCS A5055

Stoma cap

Facilitymedian $2 · 10th–90th $1$110%10%20%10th90th$2Professionalmedian $1 · 10th–90th $1$20%20%40%10th90th$1$1.0$5.0$20.0$100.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.00 / $1.00 / $2.04
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $1.00 / $2.04
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.16 / $5.37 / $17.38
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.12 / $1.51 / $1.51
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.20 / $1.20 / $2.24
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.02 / $1.02 / $2.24
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.70 / $3.72 / $4.90
Hally Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.63 / $2.63 / $2.63
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.58 / $0.78 / $2.04
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.71 / $1.00 / $1.62