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New Mexico rates for HCPCS A4381

Ostomy Pouch Urinary For Use On Faceplate Plastic Each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.70 / $4.70 / $4.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.88 / $4.58 / $18.67
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.88 / $3.88 / $3.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.30 / $3.88 / $4.57
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.16 / $6.46 / $9.69
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.76 / $1.76 / $4.84
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.30 / $4.57 / $7.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.50 / $2.74 / $4.11