go back

California rates for HCPCS A5081

Stoma plug or seal, any type

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.24 / $1.36 / $13.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.36 / $2.08 / $13.36
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.66 / $2.00 / $5.28
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.31 / $2.31 / $4.30
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.86 / $6.32 / $9.76
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.50 / $9.94 / $17.39
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.60 / $2.60 / $3.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.89 / $2.21 / $2.60
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.70 / $4.63 / $5.56
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.78 / $3.24 / $7.18
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $80.00 / $80.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.32 / $22.86 / $34.72
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.26 / $3.96 / $4.63
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.89 / $2.21 / $3.59
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.73 / $8.73 / $8.73
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.70 / $3.70 / $3.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.76 / $1.96 / $4.48