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Minnesota rates for HCPCS A5055

Stoma cap

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.28 / $1.28 / $1.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.88 / $1.28 / $1.44
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $2.14 / $2.83
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.61 / $1.95 / $2.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.21 / $6.21 / $17.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.25 / $2.39 / $2.86
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.69 / $5.90 / $13.58
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.25 / $2.25 / $2.40
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.56 / $2.00 / $80.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.56 / $0.95 / $2.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.56 / $0.85 / $2.02