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New Mexico rates for HCPCS A4388

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

Facilitymedian $15 · 10th–90th $3–$500%10%10th90th$15Professionalmedian $3 · 10th–90th $2–$50%20%10th90th$3$1.0$10.0$100.0$1.0K$10.0K$100.0K

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
$3.98 / $3.98 / $3.98
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.66 / $3.02 / $5.01
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13.18 / $32.36 / $52.48
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.63 / $4.90 / $5.75
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.63 / $3.63 / $3.63
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.09 / $3.09 / $7.59
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.90 / $6.03 / $10.72
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.66 / $4.57 / $6.76
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.09 / $3.09 / $6.31
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.34 / $2.57 / $6.17
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.34 / $2.57 / $3.89