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Stoma Cap

Utah rates for HCPCS A5055

Stoma cap

Rates data updated July 2026.

Facilitymedian $1 · 10th–90th $1$10%50%90th$1Professionalmedian $1 · 10th–90th $1$80%10%20%10th90th$1$1.0$2.0$5.0$10.0$20.0

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
Setting
Facility
Modifier
Global
Typical Low
$0.55
Median
$0.55
Typical High
$0.55
Aetna
Setting
Professional
Modifier
Global
Typical Low
$0.55
Median
$1.29
Typical High
$8.13
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1.20
Median
$1.20
Typical High
$1.20
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1.02
Median
$1.02
Typical High
$1.38
Molina
Setting
Professional
Modifier
Global
Typical Low
$0.91
Median
$1.51
Typical High
$2.09
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$1.02
Median
$1.29
Typical High
$2.19
Select Health
Setting
Facility
Modifier
Global
Typical Low
$1.86
Median
$1.86
Typical High
$1.86
Select Health
Setting
Professional
Modifier
Global
Typical Low
$0.93
Median
$1.86
Typical High
$2.00
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$1.38
Median
$1.86
Typical High
$2.40
United
Setting
Facility
Modifier
Global
Typical Low
$0.68
Median
$0.78
Typical High
$0.85
United
Setting
Professional
Modifier
Global
Typical Low
$0.68
Median
$0.85
Typical High
$1.55