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West Virginia rates for HCPCS A5055

Stoma cap

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.01 / $1.01 / $1.01
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.01 / $1.21 / $1.36
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.31 / $2.29 / $3.22
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.20 / $1.41 / $2.41
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.21 / $1.28 / $2.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.03 / $1.03 / $9.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.73 / $0.95 / $1.66