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Minnesota 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
$2.95 / $2.95 / $2.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.02 / $2.95 / $2.98
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $4.95 / $6.52
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.70 / $4.49 / $4.63
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.60 / $14.48 / $40.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.25 / $5.57 / $6.67
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.60 / $13.76 / $31.68
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.25 / $5.25 / $5.60
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.30 / $4.63 / $80.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.31 / $1.96 / $4.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.31 / $1.96 / $4.65