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Washington rates for HCPCS A5055

Stoma cap

Facilitymedian $2 · 10th–90th $2$40%20%10th90th$2Professionalmedian $1 · 10th–90th $1$30%20%40%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
Setting
Facility
Modifier
Global
Typical Low
$1.00
Median
$1.00
Typical High
$2.69
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1.00
Median
$1.00
Typical High
$2.00
Asuris Northwest Health
Setting
Facility
Modifier
Global
Typical Low
$1.74
Median
$1.74
Typical High
$1.74
Asuris Northwest Health
Setting
Professional
Modifier
Global
Typical Low
$1.74
Median
$1.74
Typical High
$2.24
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1.20
Median
$1.29
Typical High
$1.29
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1.02
Median
$1.02
Typical High
$1.29
Kaiser Permanente
Setting
Facility
Modifier
Global
Typical Low
$1.95
Median
$2.88
Typical High
$4.37
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$1.95
Median
$2.88
Typical High
$4.27
Molina
Setting
Professional
Modifier
Global
Typical Low
$1.38
Median
$1.55
Typical High
$64.57
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$1.82
Median
$1.95
Typical High
$2.00
Pacific Source
Setting
Professional
Modifier
Global
Typical Low
$1.82
Median
$2.00
Typical High
$2.14
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$1.66
Median
$1.78
Typical High
$3.24
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$1.66
Median
$1.66
Typical High
$1.95
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$1.62
Median
$1.74
Typical High
$2.24
United
Setting
Facility
Modifier
Global
Typical Low
$0.78
Median
$0.85
Typical High
$1.32
United
Setting
Professional
Modifier
Global
Typical Low
$0.79
Median
$0.89
Typical High
$1.62
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$1.29
Median
$1.74
Typical High
$3.09