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New Mexico rates for HCPCS A4369

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

Facilitymedian $12 · 10th–90th $1–$410%10%10th90th$12Professionalmedian $2 · 10th–90th $1–$30%50%10th90th$2$1.0$10.0$100.0$1.0K$10.0K$100.0K

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
$1.00 / $2.00 / $2.00
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.72 / $26.30 / $43.65
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.04 / $2.69 / $3.24
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.04 / $2.04 / $2.04
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.74 / $1.74 / $3.98
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.98 / $5.01 / $8.71
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.93 / $2.51 / $3.47
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.74 / $1.74 / $3.02
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.32 / $1.45 / $3.47
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.29 / $1.45 / $2.14