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Wisconsin rates for HCPCS A5081

Stoma plug or seal, any type

Facilitymedian $5 · 10th–90th $4–$90%20%40%10th90th$5Professionalmedian $3 · 10th–90th $2–$70%20%10th90th$3$1.0$2.0$5.0$10.0$20.0$50.0$100.0

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 / $2.00
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.00 / $2.00 / $3.02
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.68 / $4.68 / $7.76
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.27 / $4.37 / $5.25
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.57 / $14.79 / $23.44
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.91 / $5.37 / $8.91
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.57 / $3.98 / $6.76
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.89 / $4.37 / $5.13
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.63 / $4.68 / $79.43
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.95 / $2.29 / $5.13
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.02 / $33.11 / $70.79
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.41 / $7.41 / $7.41
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.31 / $5.37 / $9.33
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.68 / $7.08 / $12.59
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.57 / $9.33 / $79.43
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.91 / $2.57 / $22.91
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.68 / $4.68 / $4.68
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.68 / $4.68 / $4.68
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.51 / $2.09 / $3.39
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.55 / $2.29 / $3.80