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New Mexico rates for HCPCS A4373

Ostomy Skin Barrier With Flange (Solid Flexible Or Accordion) With Built-In Convexity Any Size Each (Updated 01-01-2003)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.36 / $6.36 / $6.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.26 / $6.20 / $25.26
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.24 / $6.99 / $8.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.26 / $5.26 / $5.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.47 / $5.26 / $6.19
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.00 / $8.76 / $13.14
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.40 / $2.40 / $6.59
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.47 / $6.19 / $10.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.40 / $3.71 / $5.60