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New York rates for HCPCS A5081

Stoma plug or seal, any type

Facilitymedian $3 · 10th–90th $2$80%20%40%10th90th$3Professionalmedian $2 · 10th–90th $2$60%20%40%10th90th$2$0.1$0.5$5.0$50.0$500.0$5.0K$50.0K

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
$2.00 / $3.72 / $5.25
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.66 / $2.00 / $3.98
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.45 / $2.45 / $7.41
CDPHP
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.63 / $3.89 / $3.89
CDPHP
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.89 / $3.89 / $3.89
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.57 / $2.57 / $50,118.72
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.91 / $2.19 / $3.89
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.68 / $7.76 / $18.20
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.95 / $5.01 / $8.91
Excellus BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.39 / $3.39 / $3.55
Excellus BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.31 / $3.31 / $3.39
Highmark BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.72 / $3.72 / $3.72
MVP Health Care
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.24 / $50,118.72 / $75,857.76
MVP Health Care
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.09 / $4.47 / $4.47
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.62 / $1.95 / $4.68
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.62 / $3.09 / $7.94
Univera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.31 / $3.31 / $3.55
Univera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.31 / $3.31 / $3.39