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Pennsylvania rates for HCPCS A5081

Stoma plug or seal, any type

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.27 / $2.27 / $3.61
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.61 / $2.84 / $3.56
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,000.00 / $8,639.91 / $79,506.39
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.53 / $4.63 / $4.63
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.60 / $2.60 / $5.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.89 / $2.21 / $2.68
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.26 / $4.63 / $8.80
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.27 / $2.27 / $3.61
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.66 / $2.84 / $4.38
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.40 / $6.30 / $9.10
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.60 / $2.60 / $5.11
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.89 / $2.21 / $3.60
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.30 / $4.41 / $4.41
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.30 / $4.41 / $4.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.54 / $2.31 / $4.05