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New York rates for HCPCS A5055

Stoma cap

Facilitymedian $2 · 10th–90th $1$40%20%40%10th90th$2Professionalmedian $1 · 10th–90th $1$30%50%10th90th$1$0.0$0.2$2.0$20.0$200.0$2.0K$20.0K

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.58 / $1.58 / $2.24
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $1.00 / $2.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.05 / $1.78 / $2.82
CDPHP
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.51 / $1.66 / $1.66
CDPHP
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.66 / $1.66 / $1.66
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.20 / $1.29 / $53,703.18
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.02 / $1.02 / $2.24
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.04 / $3.31 / $7.76
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.32 / $2.04 / $3.80
Excellus BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.51 / $1.51 / $1.58
Excellus BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.45 / $1.45 / $1.51
Highmark BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.62 / $1.62 / $1.62
MVP Health Care
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.24 / $50,118.72 / $75,857.76
MVP Health Care
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.32 / $1.95 / $1.95
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.72 / $0.85 / $2.04
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.71 / $1.32 / $3.31
Univera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.45 / $1.51 / $1.58
Univera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.45 / $1.45 / $1.51