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Missouri rates for HCPCS A5055

Stoma cap

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.86 / $1.40 / $2.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.86 / $1.12 / $2.18
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.99 / $0.99 / $1.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.21 / $1.21 / $1.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.03 / $1.03 / $1.21
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.94 / $1.83 / $80.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.70 / $1.00 / $1.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.67 / $1.00 / $1.51