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New Mexico rates for HCPCS A4376

Ostomy pouch, drainable, with faceplate attached, rubber, each

Facilitymedian $166 · 10th–90th $26–$5500%5%10%10th90th$166Professionalmedian $41 · 10th–90th $26–$560%20%10th90th$41$5.0$20.0$100.0$500.0$2.0K$10.0K$50.0K

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
$47.86 / $47.86 / $47.86
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.18 / $42.66 / $56.23
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$144.54 / $354.81 / $575.44
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$39.81 / $39.81 / $39.81
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.88 / $33.88 / $81.28
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$53.70 / $66.07 / $100.00
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$18.20 / $47.86 / $74.13
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.88 / $33.88 / $69.18
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$25.70 / $28.18 / $67.61
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.70 / $28.18 / $42.66