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New Mexico rates for HCPCS A4371

Ostomy skin barrier, powder, per oz

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.70 / $3.70 / $3.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.01 / $3.61 / $14.50
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.83 / $34.79 / $65.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.05 / $4.07 / $4.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.06 / $3.06 / $3.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.60 / $3.06 / $3.60
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.97 / $7.47 / $11.20
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.40 / $1.40 / $3.83
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.60 / $3.60 / $5.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.00 / $2.16 / $3.26