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North Dakota rates for HCPCS A5055

Stoma cap

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.44 / $1.44 / $1.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.03 / $1.28 / $1.44
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.85 / $2.19 / $2.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.25 / $2.27 / $2.86
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.98 / $1.44 / $80.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.78 / $0.94 / $1.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.56 / $0.85 / $2.00