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Stoma Plug or Seal

Maine rates for HCPCS A5081

Stoma plug or seal, any type

Rates data updated July 2026.

How much does Stoma Plug or Seal cost?

$2.82

Typical negotiated rate. In Maine, July 2026.

Insurers have agreed to pay about $2.82 for this service. Most negotiated rates run $2.29 to $4.07.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 6 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $3 · 10th to 90th $2 to $4Professionalmedian $3 · 10th to 90th $2 to $4
$2.0$5.0$10.0$20.0facility $3professional $3

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1.23
Median
$2.45
Typical High
$4.37
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$2.29
Median
$2.29
Typical High
$3.09
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2.57
Median
$2.57
Typical High
$3.63
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1.91
Median
$2.19
Typical High
$2.57
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$4.07
Median
$4.07
Typical High
$4.79
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$1.23
Median
$2.45
Typical High
$2.82
United
Setting
Facility
Modifier
Global
Typical Low
$1.26
Median
$1.78
Typical High
$2.51
United
Setting
Professional
Modifier
Global
Typical Low
$1.82
Median
$3.98
Typical High
$4.07

Where Maine sits

The same service costs 2.6 times more in Hawaii than in Colorado. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Maine $2.82 · 32nd of 51
HI $5.50CO $2.09

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.