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New Mexico rates for HCPCS A4369

Ostomy skin barrier, liquid (spray, brush, etc.), per oz

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.47 / $2.47 / $2.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.73 / $2.41 / $8.33
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.21 / $23.15 / $43.25
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.02 / $2.71 / $3.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.04 / $2.04 / $2.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.73 / $2.04 / $2.40
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.97 / $4.97 / $7.45
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.93 / $0.93 / $2.54
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.73 / $2.40 / $3.37
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.30 / $1.44 / $2.16