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New Mexico rates for HCPCS A4382

Ostomy pouch, urinary, for use on faceplate, heavy plastic, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.00 / $25.00 / $25.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.64 / $24.40 / $99.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.66 / $20.66 / $20.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.55 / $20.66 / $24.31
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.52 / $34.40 / $51.60
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.42 / $9.42 / $25.85
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.55 / $24.31 / $40.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.37 / $14.59 / $21.97