go back

Massachusetts rates for HCPCS A5055

Stoma cap

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.88 / $0.88 / $0.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.88 / $0.88 / $1.49
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.42 / $4.26 / $80.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.78 / $1.35 / $1.96
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.47 / $1.47 / $4.37
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.27 / $1.44 / $1.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.20 / $1.28 / $1.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.03 / $1.03 / $2.25
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.43 / $4,618.00 / $9,239.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.64 / $1.64 / $1.72
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.18 / $1.18 / $1.18
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.08 / $80.00 / $80.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.70 / $1.00 / $1.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.73 / $1.00 / $1.96