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New Mexico rates for HCPCS A4384

Ostomy faceplate equivalent, silicone ring, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.76 / $9.76 / $9.76
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.05 / $9.52 / $38.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.07 / $8.07 / $8.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.86 / $8.07 / $9.49
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.73 / $13.42 / $20.13
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.68 / $3.68 / $10.10
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.86 / $9.49 / $15.73
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.18 / $5.18 / $6.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.22 / $5.69 / $8.59