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Hawaii rates for HCPCS A5081

Stoma plug or seal, any type

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.25 / $2.25 / $2.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.30 / $4.30 / $4.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.60 / $3.60 / $5.96
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.42 / $5.68 / $5.68
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.79 / $5.42 / $7.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.81 / $4.30 / $5.96
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.71 / $4.51 / $5.16