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Stoma Cap

New Mexico rates for HCPCS A5055

Stoma cap

Rates data updated October 2026.

How much does Stoma Cap cost?

$1.20

Typical negotiated rate. In New Mexico, October 2026.

Insurers have agreed to pay about $1.20 for this service. The price depends on where it is billed: about $1.20 from a physician practice, and about $1.20 from a hospital or other facility.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 6 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$1.20$0.85 to $1.58
FacilityA hospital or hospital-owned outpatient department$1.20$0.55 to $1.41

How much rates vary

Facilitymedian $1 · 10th to 90th $1 to $2Professionalmedian $1 · 10th to 90th $1 to $3
$1$2facility $1professional $1

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$1.41
Median
$1.41
Typical High
$1.41
Aetna
Setting
Professional
Modifier
None
Typical Low
$1.17
Median
$1.45
Typical High
$1.45
BCBS New Mexico
Setting
Professional
Modifier
None
Typical Low
$1.20
Median
$1.58
Typical High
$1.91
Cigna
Setting
Facility
Modifier
None
Typical Low
$1.20
Median
$1.20
Typical High
$1.20
Cigna
Setting
Professional
Modifier
None
Typical Low
$1.02
Median
$1.02
Typical High
$1.20
Molina
Setting
Professional
Modifier
None
Typical Low
$2.34
Median
$2.95
Typical High
$3.02
Providence
Setting
Facility
Modifier
None
Typical Low
$0.55
Median
$1.20
Typical High
$1.58
Providence
Setting
Professional
Modifier
None
Typical Low
$1.02
Median
$1.02
Typical High
$2.09
United
Setting
Professional
Modifier
None
Typical Low
$0.78
Median
$0.85
Typical High
$1.29

Where New Mexico sits

The same service costs 2.1 times more in Kansas than in Kentucky. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

New Mexico· 31st of 51

$1.20

KS $2.14KY $1.00

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.