go back

Kentucky rates for HCPCS A5055

Stoma cap

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.67 / $1.03 / $1.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.67 / $1.17 / $1.72
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.93 / $0.99 / $1.01
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.51 / $2.58 / $3.04
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.99 / $2.41 / $3.32
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.21 / $1.21 / $2.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.03 / $1.23 / $9.50
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.12 / $1.37 / $2.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.64 / $0.91 / $1.33