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Stoma Cap

Wisconsin rates for HCPCS A5055

Stoma cap

Rates data updated July 2026.

Facilitymedian $2 · 10th–90th $2$40%20%40%10th90th$2Professionalmedian $2 · 10th–90th $1$30%10%10th90th$2$1.0$2.0$5.0$10.0$20.0$50.0$100.0

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
$1.17
Median
$1.17
Typical High
$1.17
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1.17
Median
$1.17
Typical High
$1.70
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$2.04
Median
$2.04
Typical High
$3.39
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$1.91
Median
$1.91
Typical High
$2.29
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1.20
Median
$6.17
Typical High
$10.00
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1.02
Median
$2.88
Typical High
$3.89
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$1.12
Median
$1.74
Typical High
$2.95
DeanCare
Setting
Professional
Modifier
Global
Typical Low
$1.82
Median
$4.17
Typical High
$5.25
Medica
Setting
Facility
Modifier
Global
Typical Low
$1.15
Median
$2.00
Typical High
$79.43
Medica
Setting
Professional
Modifier
Global
Typical Low
$0.85
Median
$1.00
Typical High
$2.19
Molina
Setting
Professional
Modifier
Global
Typical Low
$1.82
Median
$33.11
Typical High
$70.79
Network Health
Setting
Facility
Modifier
Global
Typical Low
$3.24
Median
$3.24
Typical High
$3.24
Network Health
Setting
Professional
Modifier
Global
Typical Low
$1.45
Median
$2.29
Typical High
$3.98
Prevea360
Setting
Facility
Modifier
Global
Typical Low
$1.12
Median
$1.74
Typical High
$2.95
Prevea360
Setting
Professional
Modifier
Global
Typical Low
$1.15
Median
$1.86
Typical High
$2.00
Quartz
Setting
Professional
Modifier
Global
Typical Low
$2.04
Median
$3.09
Typical High
$5.01
Quartz
Setting
Facility
Modifier
Global
Typical Low
$1.20
Median
$4.17
Typical High
$79.43
Quartz
Setting
Professional
Modifier
Global
Typical Low
$1.02
Median
$3.02
Typical High
$10.00
Security Health
Setting
Professional
Modifier
Global
Typical Low
$2.04
Median
$2.04
Typical High
$2.04
Security Health
Setting
Professional
Modifier
Global
Typical Low
$2.04
Median
$2.04
Typical High
$2.04
United
Setting
Facility
Modifier
Global
Typical Low
$0.66
Median
$0.91
Typical High
$2.04
United
Setting
Professional
Modifier
Global
Typical Low
$0.68
Median
$1.00
Typical High
$1.74