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Nebraska rates for HCPCS A5055

Stoma cap

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.64 / $1.64 / $1.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.64 / $1.64 / $1.68
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.74 / $1.90 / $1.92
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.21 / $2.18 / $2.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.12 / $2.25 / $3.37
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.01 / $2.00 / $80.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.70 / $0.99 / $1.65
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.17 / $2.21 / $2.76
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.79 / $2.58 / $4.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.70 / $0.99 / $1.32