HCPCS Code: A5081
Stoma Plug or Seal for Ostomy Care, Various Types (A5081)
Prices last updated: March 2026
Typical Healthcare System Prices
Private insurers typically reimburse about 2x the Medicare allowed amount.
Without insurance, providers typically charge 3–5x the Medicare allowed amount.
Original Medicare (Part B) covers 80% (~$4.00) after the $283 annual deductible. Your 20% coinsurance: ~$1.00. Medicare Advantage plans vary.
Estimated national averages. Actual costs vary by provider, region, and plan.
Get Better Medicare Coverage
Medicare Part B leaves you paying 20% out of pocket. Medicare Supplement (Medigap) plans can cover your coinsurance, deductibles, and more — potentially saving you thousands per year.
Free quotes from licensed agents. Plans from top carriers.
About Stoma Plug or Seal for Ostomy Care, Various Types (A5081)
HCPCS code A5081 is the Medicare and insurance billing code for Stoma Plug or Seal for Ostomy Care, Various Types (A5081). This code is used by healthcare providers and insurance companies when prescribing and processing claims for this durable medical equipment (DME) item.
Durable medical equipment (DME) includes a wide range of devices and supplies prescribed by healthcare providers for use in the home. These items are covered by Medicare and most insurance plans under specific HCPCS billing codes, but out-of-pocket costs can vary significantly between providers.
Many patients find that purchasing DME items like stoma plug or seal for ostomy care, various types (a5081) directly on Amazon can be significantly cheaper than going through traditional healthcare channels, especially for those with high deductibles or limited insurance coverage.
Frequently Asked Questions
What is HCPCS code A5081?
HCPCS code A5081 is the Medicare and insurance billing code for Stoma Plug or Seal for Ostomy Care, Various Types (A5081). Healthcare providers use this code when prescribing and billing for this durable medical equipment (DME) item.
How much does Stoma Plug or Seal for Ostomy Care, Various Types (A5081) cost?
The typical private insurance price for Stoma Plug or Seal for Ostomy Care, Various Types (A5081) is $9.00. If paying cash without insurance, expect to pay around $15.00. The estimated Medicare Allowed Amount is $5.00. The same or equivalent product is available on Amazon for approximately $4.50.
How much does Medicare pay for Stoma Plug or Seal for Ostomy Care, Various Types (A5081)?
The estimated Medicare Allowed Amount for Stoma Plug or Seal for Ostomy Care, Various Types (A5081) is $5.00. Under Original Medicare Part B, Medicare covers 80% (approximately $4.00) after the annual deductible ($283 in 2026). Your 20% coinsurance would be approximately $1.00. Medicare Advantage plan costs vary.
Can I buy Stoma Plug or Seal for Ostomy Care, Various Types (A5081) on Amazon instead of through my insurance?
Yes. Many durable medical equipment items covered under HCPCS code A5081 are available on Amazon at up to 70% less than typical healthcare prices. This can be a smart option if you have a high deductible, high copay, or no insurance coverage for DME.
Compare more medical equipment prices
Search EquipmentPrices are estimates and may vary. We earn commissions as an Amazon Associate and through Medicare insurance referrals. Actual prices may vary based on inventory and promotions.