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Mississippi rates for HCPCS A5055

Stoma Cap (Special Coverage Instructions Apply. See Mcm: 2130)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.52 / $1.52 / $1.57
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.03 / $1.49 / $1.57
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.50 / $1.50 / $1.65
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.43 / $1.43 / $1.43
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.20 / $1.21 / $1.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.03 / $1.03 / $1.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.56 / $0.86 / $1.56