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Montana rates for HCPCS A5081

Stoma plug or seal, any type

Facilitymedian $4 · 10th–90th $3–$50%20%10th90th$4Professionalmedian $3 · 10th–90th $1–$50%10%20%10th90th$3$1.0$2.0$5.0$10.0$20.0$50.0

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
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $2.00 / $5.01
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.80 / $3.80 / $3.80
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.57 / $4.17 / $4.17
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.57 / $4.17 / $4.17
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.02 / $3.80 / $7.41
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.02 / $3.80 / $7.41
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.24 / $3.63 / $4.79
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.95 / $4.17 / $79.43
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.55 / $1.78 / $1.82
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.78 / $1.95 / $2.63