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Indiana rates for HCPCS A5081

Stoma Plug Or Seal Any Type Revised 1/1/2014

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.38 / $3.38 / $3.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.18 / $2.94 / $3.38
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.31 / $2.31 / $4.46
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.31 / $2.31 / $3.18
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.24 / $4.36 / $5.91
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.35 / $4.53 / $5.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.60 / $2.60 / $2.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.89 / $2.21 / $3.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.31 / $1.96 / $2.98