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Tennessee rates for HCPCS A5055

Stoma cap

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.88 / $0.88 / $1.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.86 / $1.09 / $1.52
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.02 / $1.54 / $1.54
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 / $1.21
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.08 / $80.00 / $80.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.86 / $9.86 / $14.85
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.56 / $0.81 / $1.22