go back

New Mexico rates for HCPCS A4385

Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each

Facilitymedian $26 · 10th–90th $3–$870%5%10%10th90th$26Professionalmedian $4 · 10th–90th $2–$60%20%10th90th$4$2.0$20.0$200.0$2.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.01 / $5.01 / $5.01
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.00 / $3.98 / $6.03
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$22.39 / $56.23 / $91.20
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.27 / $5.75 / $6.76
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.27 / $4.27 / $4.27
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.63 / $3.63 / $8.71
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.32 / $10.47 / $18.20
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.95 / $5.13 / $7.94
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.63 / $3.63 / $7.41
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.75 / $3.02 / $7.24
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.75 / $3.02 / $4.57