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New Mexico rates for HCPCS A4398

Ostomy irrigation supply; bag, each

Facilitymedian $12 · 10th–90th $5–$200%10%10th90th$12Professionalmedian $11 · 10th–90th $8–$160%20%10th90th$11$10.0$20.0$50.0

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
$12.02 / $12.02 / $12.02
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.94 / $10.96 / $15.85
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.77 / $15.49 / $15.49
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11.48 / $11.48 / $11.48
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.77 / $9.77 / $23.99
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.49 / $19.50 / $28.84
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.25 / $13.80 / $21.88
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.77 / $9.77 / $20.42
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.59 / $8.13 / $19.50
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.41 / $8.13 / $12.30