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New York rates for HCPCS A5055

Stoma cap

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.86 / $0.97 / $1.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.86 / $0.97 / $1.87
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.99 / $1.37 / $2.60
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.53 / $1.65 / $1.65
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.65 / $1.65 / $1.65
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 / $1.38
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.98 / $4.46 / $332.00
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.17 / $1.82 / $3.50
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.50 / $1.50 / $1.50
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.43 / $1.43 / $1.65
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.62 / $1.62 / $1.62
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.21 / $1.21 / $555.00
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.03 / $1.21 / $3.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.66 / $0.99 / $1.79
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.43 / $1.43 / $1.55
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.43 / $1.43 / $1.50