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New Mexico rates for HCPCS A4372

Ostomy skin barrier, solid 4 x 4 or equivalent, standard wear, with built-in convexity, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.26 / $4.26 / $4.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.52 / $4.16 / $4.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.77 / $3.77 / $3.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.40 / $3.77 / $4.13
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.69 / $5.87 / $8.80
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.60 / $1.60 / $4.38
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.40 / $3.77 / $5.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.27 / $2.48 / $3.73