go back

New Jersey rates for HCPCS A5055

Stoma cap

Facilitymedian $1 · 10th–90th $1–$20%20%10th90th$1Professionalmedian $1 · 10th–90th $1–$20%50%90th$1$1.0$2.0$5.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $1.00 / $1.45
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.20 / $1.20 / $1.29
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.02 / $1.02 / $1.23
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.32 / $1.95 / $2.75
Horizon BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.32 / $1.32 / $1.32
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.71 / $0.78 / $2.04
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.85 / $1.12 / $1.95