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Kansas 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
$5.12 / $5.12 / $5.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.26 / $2.47 / $5.12
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.62 / $5.04 / $5.35
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.00 / $5.00 / $5.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.60 / $2.60 / $2.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.89 / $2.60 / $5.25
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.26 / $3.99 / $80.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.31 / $2.31 / $5.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.48 / $2.08 / $3.27