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Washington rates for HCPCS A5081

Stoma plug or seal, any type

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.23 / $5.05 / $5.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.99 / $2.25 / $5.35
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.45 / $80.00 / $80.00
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.84 / $3.48 / $22.32
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.60 / $2.60 / $2.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.89 / $2.21 / $3.43
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.55 / $4.76 / $8.46
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.55 / $5.09 / $8.46
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.70 / $3.01 / $3.31
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.53 / $3.84 / $3.94
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.53 / $3.94 / $3.94
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.26 / $3.45 / $6.37
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.26 / $3.72 / $5.66
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.12 / $3.35 / $4.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.81 / $2.11 / $3.75
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.31 / $2.69 / $2.69