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Stoma Cap

Virginia rates for HCPCS A5055

Stoma cap

Rates data updated July 2026.

Facilitymedian $2 · 10th–90th $1$30%20%10th90th$2Professionalmedian $1 · 10th–90th $1$20%20%40%10th90th$1$0.5$2.0$10.0$50.0$200.0$1.0K$5.0K

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
Setting
Facility
Modifier
Global
Typical Low
$1.26
Median
$1.26
Typical High
$1.35
Aetna
Setting
Professional
Modifier
Global
Typical Low
$0.85
Median
$1.26
Typical High
$1.51
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$1.00
Median
$1.00
Typical High
$2.04
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$1.35
Median
$1.35
Typical High
$1.41
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1.20
Median
$1.20
Typical High
$1.29
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1.02
Median
$1.02
Typical High
$1.20
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$1.55
Median
$2.04
Typical High
$2.88
Medcost
Setting
Professional
Modifier
Global
Typical Low
$1.00
Median
$1.32
Typical High
$2.00
Medcost
Setting
Facility
Modifier
Global
Typical Low
$0.81
Median
$1.45
Typical High
$2.51
Medcost
Setting
Professional
Modifier
Global
Typical Low
$1.12
Median
$1.32
Typical High
$1.35
Sentara
Setting
Facility
Modifier
Global
Typical Low
$1.38
Median
$1.78
Typical High
$6.92
Sentara
Setting
Professional
Modifier
Global
Typical Low
$1.38
Median
$1.78
Typical High
$6.92
United
Setting
Facility
Modifier
Global
Typical Low
$0.65
Median
$0.78
Typical High
$1.02
United
Setting
Professional
Modifier
Global
Typical Low
$0.79
Median
$1.00
Typical High
$1.58