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New Jersey rates for HCPCS A5081

Stoma plug or seal, any type

Facilitymedian $2 · 10th–90th $2–$30%50%10th90th$2Professionalmedian $2 · 10th–90th $1–$30%20%10th90th$2$0.1$0.2$1.0$5.0$20.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.00 / $2.00 / $2.00
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $2.00 / $3.02
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 / $2.19
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.09 / $4.47 / $6.31
Horizon BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.09 / $3.09 / $3.09
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.55 / $1.78 / $4.68
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.95 / $2.57 / $4.47