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Pennsylvania rates for HCPCS A5081

Stoma plug or seal, any type

Facilitymedian $3 · 10th–90th $2$50%20%40%10th90th$3Professionalmedian $2 · 10th–90th $2$40%50%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 / $3.63 / $3.63
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.66 / $2.00 / $3.98
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,011.87 / $8,511.38 / $77,624.71
Capital Blue Cross
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.68 / $4.68 / $4.68
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.57 / $2.57 / $4.17
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
$4.37 / $6.17 / $8.91
Geisinger
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.68 / $4.68 / $4.68
Geisinger
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.29 / $2.82 / $4.68
Highmark BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.24 / $3.24 / $3.24
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.00 / $2.00 / $2.00
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $2.00 / $3.02
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.60 / $6.31 / $9.12
UPMC Health Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.07 / $3.31 / $5.25
UPMC Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.31 / $3.98 / $4.57
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.55 / $1.95 / $2.95
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.62 / $2.29 / $4.68