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Stoma Plug or Seal

Florida rates for HCPCS A5081

Stoma plug or seal, any type

Rates data updated October 2026.

How much does Stoma Plug or Seal cost?

$2.29

Typical negotiated rate. In Florida, October 2026.

Insurers have agreed to pay about $2.29 for this service. The price depends on where it is billed: about $2.29 from a physician practice, and about $2.57 from a hospital or other facility.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 8 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$2.29$2.09 to $2.82
FacilityA hospital or hospital-owned outpatient department$2.57$2.57 to $9.55

How much rates vary

Facilitymedian $3 · 10th to 90th $3 to $17Professionalmedian $2 · 10th to 90th $2 to $5
$2$5$10$20$50facility $3professional $2

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$2.09
Median
$3.39
Typical High
$3.55
Aetna
Setting
Professional
Modifier
None
Typical Low
$2.09
Median
$3.09
Typical High
$3.55
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$0.31
Median
$0.47
Typical High
$0.52
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$0.21
Median
$0.32
Typical High
$0.35
Ambetter
Setting
Professional
Modifier
None
Typical Low
$3.09
Median
$3.09
Typical High
$3.09
AvMed
Setting
Professional
Modifier
None
Typical Low
$3.47
Median
$4.27
Typical High
$4.68
Cigna
Setting
Facility
Modifier
None
Typical Low
$2.57
Median
$2.57
Typical High
$2.57
Cigna
Setting
Professional
Modifier
None
Typical Low
$1.91
Median
$2.19
Typical High
$2.19
Florida Blue
Setting
Facility
Modifier
None
Typical Low
$6.61
Median
$13.49
Typical High
$20.89
Florida Blue
Setting
Professional
Modifier
None
Typical Low
$2.82
Median
$4.68
Typical High
$4.68
Molina
Setting
Professional
Modifier
None
Typical Low
$2.04
Median
$2.69
Typical High
$2.95
United
Setting
Professional
Modifier
None
Typical Low
$1.82
Median
$2.29
Typical High
$34.67
Wellpoint
Setting
Professional
Modifier
None
Typical Low
$2.69
Median
$2.69
Typical High
$4.68

Where Florida sits

The same service costs 2.5 times more in Hawaii than in Vermont. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Florida· 39th of 51

$2.29

HI $5.50VT $2.19

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.