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Ostomy Irrigation Supply, Bag

New Mexico rates for HCPCS A4398

Ostomy irrigation supply; bag, each

Rates data updated July 2026.

How much does Ostomy Irrigation Supply, Bag cost?

$11.48

Typical negotiated rate. In New Mexico, July 2026.

Insurers have agreed to pay about $11.48 for this service. The price depends on where it is billed: about $11.48 from a physician practice, and about $12.02 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 6 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$11.48$8.13 to $13.80
FacilityA hospital or hospital-owned outpatient department$12.02$8.13 to $17.38

How much rates vary

Facilitymedian $12 · 10th to 90th $5 to $20Professionalmedian $11 · 10th to 90th $6 to $23
$10$20$50facility $12professional $11

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$12.30
Median
$12.30
Typical High
$12.30
Aetna
Setting
Professional
Modifier
Global
Typical Low
$5.62
Median
$12.30
Typical High
$83.18
BCBS
Setting
Professional
Modifier
Global
Typical Low
$11.48
Median
$15.49
Typical High
$15.49
Cigna
Setting
Facility
Modifier
Global
Typical Low
$11.48
Median
$11.48
Typical High
$11.48
Cigna
Setting
Professional
Modifier
Global
Typical Low
$9.77
Median
$9.77
Typical High
$28.84
Molina
Setting
Professional
Modifier
Global
Typical Low
$15.49
Median
$19.50
Typical High
$28.84
Providence
Setting
Facility
Modifier
Global
Typical Low
$5.25
Median
$13.80
Typical High
$21.88
Providence
Setting
Professional
Modifier
Global
Typical Low
$9.77
Median
$9.77
Typical High
$20.42
United
Setting
Facility
Modifier
Global
Typical Low
$7.59
Median
$8.13
Typical High
$19.50
United
Setting
Professional
Modifier
Global
Typical Low
$7.59
Median
$8.13
Typical High
$12.30

Where New Mexico sits

The same service costs 2.5 times more in Kansas than in Rhode Island. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

New Mexico· 37th of 51

$11.48

KS $23.44RI $9.55

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.