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Massachusetts rates for HCPCS A5081

Stoma plug or seal, any type

Facilitymedian $3 · 10th–90th $2–$790%20%10th90th$3Professionalmedian $3 · 10th–90th $2–$40%20%10th90th$3$1.0$10.0$100.0$1.0K$10.0K

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 / $2.00
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.00 / $2.00 / $3.98
AllWays Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.75 / $4.37 / $79.43
AllWays Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.78 / $3.55 / $5.25
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.95 / $2.95 / $8.91
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.57 / $2.57 / $2.95
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.91 / $2.19 / $2.95
Fallon Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$60.26 / $3,630.78 / $9,772.37
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.07 / $4.07 / $6.17
Health New England
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.10 / $1.10 / $1.10
Mass General Brigham
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.75 / $4.37 / $79.43
Mass General Brigham
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.78 / $3.55 / $5.25
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.48 / $1.95 / $2.63
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.82 / $2.88 / $4.07