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New Mexico rates for HCPCS A4378

Ostomy pouch, drainable, for use on faceplate, rubber, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.22 / $31.22 / $31.22
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.78 / $30.47 / $123.95
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.74 / $34.32 / $40.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.81 / $25.81 / $25.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.94 / $25.81 / $30.36
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.36 / $42.96 / $64.44
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.76 / $11.76 / $32.29
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.94 / $30.36 / $50.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.70 / $18.22 / $27.45