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New Mexico rates for HCPCS A4379

Ostomy pouch, urinary, with faceplate attached, plastic, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.25 / $15.25 / $15.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.59 / $14.88 / $60.55
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.91 / $13.91 / $13.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.56 / $13.91 / $14.83
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.78 / $20.98 / $31.47
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.75 / $5.75 / $15.77
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.56 / $13.91 / $18.37
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.16 / $8.90 / $13.40