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New Jersey rates for HCPCS A5055

Stoma cap

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.97 / $0.97 / $0.97
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.61 / $0.97 / $1.64
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.21 / $1.21 / $1.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.03 / $1.03 / $2.25
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.82 / $1.82 / $2.18
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.67 / $0.82 / $1.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.78 / $0.99 / $1.65