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Indiana rates for HCPCS A5055

Stoma cap

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.72 / $1.72 / $2.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.01 / $1.17 / $1.72
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.99 / $0.99 / $1.91
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.93 / $0.99 / $1.36
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.51 / $2.11 / $3.02
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.71 / $2.21 / $2.71
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 / $2.06
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.56 / $0.95 / $1.41