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South Dakota rates for HCPCS A5081

Stoma plug or seal, any type

Facilitymedian $3 · 10th–90th $2–$50%20%40%10th90th$3Professionalmedian $3 · 10th–90th $2–$70%20%40%10th90th$3$2.0$5.0$10.0$20.0$50.0

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
$2.00 / $2.00 / $5.01
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.57 / $2.57 / $5.25
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.25 / $5.25 / $6.61
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.16 / $4.57 / $7.41
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.58 / $2.63 / $22.39
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.27 / $5.13 / $5.13
Midlands
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.25 / $5.25 / $5.25
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.27 / $4.27 / $7.08
Sanford Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.31 / $3.98 / $5.25
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.55 / $2.63 / $5.37
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.17 / $4.17 / $4.17