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Massachusetts rates for HCPCS A5055

Stoma cap

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.98 / $3.98 / $3.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.00 / $3.98
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.82 / $2.04 / $79.43
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.78 / $1.51 / $2.04
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.48 / $1.48 / $4.47
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.26 / $1.45 / $1.45
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.20 / $1.23 / $1.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.02 / $1.02 / $1.38
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.18 / $4,897.79 / $9,772.37
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.78 / $1.78 / $2.69
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.17 / $1.17 / $1.17
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.82 / $2.04 / $79.43
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.78 / $1.55 / $2.29
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.65 / $0.85 / $1.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.76 / $1.15 / $1.78