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New Mexico rates for HCPCS A4388

Ostomy pouch, drainable, with extended wear barrier attached, (one piece), each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.43 / $4.43 / $4.43
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.65 / $4.33 / $17.59
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.65 / $4.87 / $5.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.66 / $3.66 / $3.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.11 / $3.66 / $4.30
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.87 / $6.09 / $9.13
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.67 / $1.67 / $4.58
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.11 / $4.30 / $7.14
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.35 / $2.35 / $2.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.37 / $2.59 / $3.89