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North Carolina rates for HCPCS A5055

Stoma cap

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.52 / $1.52 / $1.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.27 / $1.52 / $1.52
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.12 / $1.17 / $1.28
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.39 / $2.29 / $2.58
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.20 / $1.30 / $1.43
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.17 / $1.21 / $1.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.03 / $1.03 / $2.81
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.55 / $1.52 / $2.06
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.00 / $1.32
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.40 / $2.40 / $3.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.66 / $0.85 / $1.28
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $80.00 / $80.00
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.86 / $9.86 / $14.85