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Texas rates for HCPCS A5055

Stoma cap

Facilitymedian $2 · 10th–90th $1$40%10%10th90th$2Professionalmedian $1 · 10th–90th $1$10%50%10th90th$1$1.0$2.0$5.0$10.0$20.0$50.0

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
$1.00 / $1.00 / $1.00
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $1.00 / $1.38
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.17 / $1.17 / $1.17
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.93 / $1.02 / $1.23
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.93 / $0.93 / $1.05
Christus
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.00 / $2.00 / $79.43
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.20 / $1.20 / $1.29
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.02 / $1.02 / $1.20
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$79.43 / $85.11 / $85.11
Lucent Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.00 / $14.79 / $14.79
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.98 / $1.62 / $2.82
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $1.00 / $2.04
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.12 / $1.12 / $1.29
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.98 / $1.62 / $2.82
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.02 / $1.02 / $1.23
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.65 / $0.81 / $1.23
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.71 / $0.93 / $1.23
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $2.00 / $2.00