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Ohio rates for HCPCS A5055

Stoma cap

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.17 / $1.17 / $5.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.97 / $1.17 / $1.72
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.47 / $1.49 / $1.61
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.93 / $0.99 / $2.39
Aultcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.84 / $1.84 / $1.84
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.51 / $1.84 / $2.48
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.31 / $1.84 / $3.94
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.12 / $1.21 / $2.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.03 / $1.03 / $1.67
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.12 / $1.21 / $1.28
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.03 / $1.03 / $1.30
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.01 / $1.27 / $1.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.61 / $0.88 / $1.28