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Washington rates for HCPCS A5081

Stoma plug or seal, any type

Facilitymedian $4 · 10th–90th $3$90%20%10th90th$4Professionalmedian $2 · 10th–90th $2$60%20%10th90th$2$0.1$0.2$1.0$5.0$20.0

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 / $2.00 / $5.25
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $2.00 / $5.01
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.39 / $3.39 / $3.39
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.39 / $3.39 / $4.37
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.57 / $2.57 / $2.95
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.91 / $2.19 / $2.57
Kaiser Permanente
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.80 / $6.31 / $10.72
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.80 / $6.46 / $10.00
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.69 / $3.02 / $64.57
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.55 / $3.80 / $3.98
Pacific Source
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.47 / $3.72 / $3.98
Premera BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.24 / $3.47 / $6.31
Premera BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.24 / $3.24 / $3.80
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.24 / $3.39 / $4.37
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.78 / $1.95 / $3.02
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.82 / $2.00 / $3.72
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.69 / $3.39 / $6.03