go back

Pennsylvania rates for HCPCS A5055

Stoma cap

Facilitymedian $2 · 10th–90th $1$20%50%10th90th$2Professionalmedian $1 · 10th–90th $1$20%50%90th$1$1.0$10.0$100.0$1.0K$10.0K

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
$1.55 / $1.55 / $1.55
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $1.00 / $2.00
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,011.87 / $8,511.38 / $77,624.71
Capital Blue Cross
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.00 / $2.00 / $2.00
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.20 / $1.20 / $1.91
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.02 / $1.02 / $1.29
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.82 / $2.24 / $3.80
Geisinger
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.04 / $2.04 / $2.04
Geisinger
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $1.23 / $2.04
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $1.00 / $1.00
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.60 / $2.69 / $3.89
UPMC Health Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.71 / $1.41 / $10.72
UPMC Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.41 / $1.78 / $2.14
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.78 / $0.91 / $1.29
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.71 / $1.00 / $2.04