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Wisconsin rates for HCPCS A5055

Stoma cap

Facilitymedian $2 · 10th–90th $2$40%20%40%10th90th$2Professionalmedian $1 · 10th–90th $1$30%20%40%10th90th$1$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
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.00 / $1.00 / $1.00
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $1.00 / $1.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.04 / $2.04 / $3.39
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.82 / $1.91 / $2.29
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.20 / $6.31 / $10.00
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.02 / $2.82 / $3.89
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.12 / $1.74 / $2.95
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.82 / $4.17 / $5.25
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.15 / $2.00 / $79.43
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.85 / $1.00 / $2.19
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.82 / $33.11 / $70.79
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.24 / $3.24 / $3.24
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.45 / $2.29 / $3.98
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.04 / $3.09 / $5.25
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.20 / $4.07 / $79.43
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.02 / $2.04 / $9.77
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.04 / $2.04 / $2.04
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.04 / $2.04 / $2.04
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.66 / $0.91 / $1.48
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.68 / $1.00 / $1.62