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New Mexico rates for HCPCS A4398

Ostomy irrigation supply; bag, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.18 / $12.18 / $12.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.59 / $13.70 / $55.73
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.57 / $15.43 / $18.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.60 / $11.60 / $11.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.86 / $11.60 / $13.65
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.44 / $19.30 / $28.96
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.28 / $5.28 / $14.50
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.86 / $13.65 / $22.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.51 / $8.19 / $12.33