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California rates for HCPCS A5081

Stoma plug or seal, any type

Facilitymedian $2 · 10th–90th $2$60%20%10th90th$2Professionalmedian $2 · 10th–90th $1$170%20%10th90th$2$0.1$0.2$1.0$5.0$20.0$100.0$500.0

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 / $19.95
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $2.00 / $17.78
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.74 / $2.19 / $5.50
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.29 / $2.45 / $6.76
Blue Shield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.79 / $6.46 / $9.77
Blue Shield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.37 / $8.51 / $17.38
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.57 / $2.57 / $2.69
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.91 / $2.19 / $2.57
Contra Costa Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.80 / $5.25 / $6.31
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.82 / $4.27 / $7.76
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$79.43 / $79.43 / $85.11
Lucent Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.91 / $34.67 / $34.67
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.98 / $3.98 / $3.98
Optum
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$54.95 / $54.95 / $70.79
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.35 / $4.07 / $5.89
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.91 / $2.19 / $3.63
Sutter Health Plus
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.71 / $8.71 / $8.71
The Alliance
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.80 / $3.80 / $4.27
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.33 / $1.78 / $2.19
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.78 / $2.09 / $5.01