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Montana rates for HCPCS A5055

Stoma cap

Facilitymedian $2 · 10th–90th $1–$20%20%10th90th$2Professionalmedian $2 · 10th–90th $1–$60%20%10th90th$2$1.0$2.0$5.0$10.0$20.0$50.0

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
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $1.00 / $8.13
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.91 / $1.91 / $1.91
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.20 / $2.04 / $2.04
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.20 / $2.04 / $2.04
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.51 / $1.91 / $3.72
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.51 / $1.91 / $3.72
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.98 / $1.82 / $2.34
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.48 / $2.04 / $79.43
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.68 / $0.78 / $0.78
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.78 / $0.85 / $1.15