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Oklahoma rates for HCPCS A5055

Stoma cap

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.20 / $1.20 / $1.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.18 / $1.18 / $1.20
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.76 / $1.76 / $1.76
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.20 / $1.76 / $1.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.20 / $1.21 / $1.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.03 / $1.03 / $2.25
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.55 / $1.26 / $80.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.56 / $0.96 / $2.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.56 / $0.85 / $1.22