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Stoma Plug or Seal

Montana rates for HCPCS A5081

Stoma plug or seal, any type

Rates data updated October 2026.

How much does Stoma Plug or Seal cost?

$4.17

Typical negotiated rate. In Montana, October 2026.

Insurers have agreed to pay about $4.17 for this service. The price depends on where it is billed: about $4.17 from a physician practice, and about $4.17 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$4.17$3.09 to $4.17
FacilityA hospital or hospital-owned outpatient department$4.17$3.98 to $229

How much rates vary

Facilitymedian $4 · 10th to 90th $3 to $234Professionalmedian $4 · 10th to 90th $2 to $79
$2$5$10$20$50$100$200facility $4professional $4

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
None
Typical Low
$1.26
Median
$3.47
Typical High
$5.37
BCBS Montana
Setting
Professional
Modifier
None
Typical Low
$3.80
Median
$3.80
Typical High
$3.80
Cigna
Setting
Facility
Modifier
None
Typical Low
$3.63
Median
$4.17
Typical High
$4.17
Cigna
Setting
Professional
Modifier
None
Typical Low
$3.39
Median
$4.17
Typical High
$4.17
MountainHealth Co-op
Setting
Facility
Modifier
None
Typical Low
$3.02
Median
$5.01
Typical High
$234.42
MountainHealth Co-op
Setting
Professional
Modifier
None
Typical Low
$3.98
Median
$4.37
Typical High
$245.47
Providence
Setting
Facility
Modifier
None
Typical Low
$2.57
Median
$4.17
Typical High
$4.17
Providence
Setting
Professional
Modifier
None
Typical Low
$3.09
Median
$4.17
Typical High
$79.43
United
Setting
Professional
Modifier
None
Typical Low
$1.86
Median
$1.95
Typical High
$3.24

Where Montana sits

The same service costs 2.5 times more in Hawaii than in Vermont. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Montana· 7th of 51

$4.17

HI $5.50VT $2.19

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.