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Texas rates for HCPCS A5055

Stoma cap

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.97 / $1.26 / $1.43
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.97 / $1.28 / $1.72
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.17 / $1.21 / $1.28
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.94 / $1.11 / $1.24
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.93 / $0.93 / $1.04
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.95 / $1.95 / $1.95
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 / $1.21
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.00 / $80.00 / $80.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.86 / $9.86 / $14.85
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.55 / $1.46 / $1.97
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.68 / $1.76 / $1.95
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.55 / $1.39 / $1.95
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.03 / $1.03 / $1.67
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.71 / $0.93 / $1.22
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.99 / $0.99 / $1.95