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Massachusetts rates for HCPCS A5055

Stoma cap

Facilitymedian $2 · 10th–90th $1$790%10%20%10th90th$2Professionalmedian $1 · 10th–90th $1$20%20%40%10th90th$1$1.0$10.0$100.0$1.0K$10.0K

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
Setting
Facility
Modifier
Global
Typical Low
$3.98
Median
$3.98
Typical High
$3.98
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1.00
Median
$1.00
Typical High
$2.75
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$1.82
Median
$2.04
Typical High
$79.43
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$0.78
Median
$1.66
Typical High
$2.29
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1.48
Median
$1.48
Typical High
$4.47
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1.20
Median
$1.23
Typical High
$1.51
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1.02
Median
$1.02
Typical High
$1.86
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$60.26
Median
$3,630.78
Typical High
$9,772.37
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$1.78
Median
$1.78
Typical High
$2.63
Health New England
Setting
Professional
Modifier
Global
Typical Low
$1.17
Median
$1.17
Typical High
$1.17
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$1.82
Median
$2.04
Typical High
$79.43
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$0.78
Median
$1.66
Typical High
$2.29
United
Setting
Facility
Modifier
Global
Typical Low
$0.65
Median
$0.85
Typical High
$1.15
United
Setting
Professional
Modifier
Global
Typical Low
$0.78
Median
$1.23
Typical High
$1.78