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Illinois rates for HCPCS A5081

Stoma plug or seal, any type

Facilitymedian $5 · 10th–90th $2–$270%10%20%10th90th$5Professionalmedian $2 · 10th–90th $2–$50%20%40%10th90th$2$0.1$0.2$1.0$5.0$20.0$100.0

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
$2.00 / $2.00 / $4.68
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.00 / $2.00 / $4.68
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.57 / $2.57 / $2.63
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.90 / $10.23 / $40.74
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.45 / $3.47 / $3.47
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.57 / $2.57 / $5.25
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.91 / $2.19 / $3.02
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.98 / $4.90 / $6.61
Hally Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.03 / $6.03 / $6.03
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.26 / $1.82 / $4.68
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.62 / $2.29 / $3.80