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Stoma Plug or Seal

Hawaii rates for HCPCS A5081

Stoma plug or seal, any type

Rates data updated October 2026.

How much does Stoma Plug or Seal cost?

$5.50

Typical negotiated rate. In Hawaii, October 2026.

Insurers have agreed to pay about $5.50 for this service. Most negotiated rates run $4.27 to $5.75.

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 6 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $4 · 10th to 90th $3 to $4Professionalmedian $5 · 10th to 90th $4 to $6
$5facility $4professional $5

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

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
None
Typical Low
$2.24
Median
$2.24
Typical High
$2.24
Cigna
Setting
Facility
Modifier
None
Typical Low
$2.57
Median
$4.27
Typical High
$4.27
Cigna
Setting
Professional
Modifier
None
Typical Low
$5.37
Median
$6.03
Typical High
$6.03
HMSA
Setting
Professional
Modifier
None
Typical Low
$5.50
Median
$5.50
Typical High
$5.75
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$3.89
Median
$5.50
Typical High
$7.24
United
Setting
Professional
Modifier
None
Typical Low
$3.89
Median
$6.03
Typical High
$6.03
University Health Alliance
Setting
Professional
Modifier
None
Typical Low
$3.72
Median
$3.72
Typical High
$3.72

Where Hawaii 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.

Hawaii· 1st of 51

$5.50

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.