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Stoma Plug or Seal

New Mexico rates for HCPCS A5081

Stoma plug or seal, any type

Rates data updated October 2026.

How much does Stoma Plug or Seal cost?

$2.34

Typical negotiated rate. In New Mexico, October 2026.

Insurers have agreed to pay about $2.34 for this service. The price depends on where it is billed: about $2.34 from a physician practice, and about $2.57 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$2.34$1.95 to $3.16
FacilityA hospital or hospital-owned outpatient department$2.57$1.26 to $2.88

How much rates vary

Facilitymedian $3 · 10th to 90th $1 to $3Professionalmedian $2 · 10th to 90th $2 to $4
$2$5facility $3professional $2

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

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$2.88
Median
$2.88
Typical High
$2.88
Aetna
Setting
Professional
Modifier
None
Typical Low
$2.45
Median
$2.82
Typical High
$2.95
BCBS New Mexico
Setting
Professional
Modifier
None
Typical Low
$2.34
Median
$3.16
Typical High
$3.72
Cigna
Setting
Facility
Modifier
None
Typical Low
$2.57
Median
$2.57
Typical High
$2.57
Cigna
Setting
Professional
Modifier
None
Typical Low
$1.91
Median
$2.19
Typical High
$2.57
Molina
Setting
Professional
Modifier
None
Typical Low
$3.16
Median
$3.98
Typical High
$3.98
Providence
Setting
Facility
Modifier
None
Typical Low
$1.26
Median
$2.57
Typical High
$3.63
Providence
Setting
Professional
Modifier
None
Typical Low
$1.91
Median
$2.19
Typical High
$3.63
United
Setting
Professional
Modifier
None
Typical Low
$1.82
Median
$1.95
Typical High
$2.95

Where New Mexico 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.

New Mexico· 34th of 51

$2.34

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.