go back

North Carolina rates for HCPCS A5081

Stoma plug or seal, any type

Facilitymedian $4 · 10th–90th $2$100%10%20%10th90th$4Professionalmedian $3 · 10th–90th $2$30%20%40%10th90th$3$0.1$0.2$1.0$5.0$20.0$100.0

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
Facility
Modifier
Typical Low / Median / Typical High
$3.02 / $3.02 / $3.02
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.00 / $3.02 / $3.02
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.39 / $3.98 / $4.27
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.09 / $3.09 / $3.39
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.57 / $2.57 / $2.69
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.91 / $2.19 / $2.82
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.82 / $1.95 / $3.31
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.00 / $3.80 / $6.03
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.60 / $0.60 / $0.60
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.48 / $1.82 / $2.95
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.55 / $2.00 / $2.88
Wellcare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$79.43 / $79.43 / $85.11
Wellcare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.91 / $22.91 / $34.67