go back

New Mexico rates for HCPCS A4399

Ostomy irrigation supply; cone/catheter, with or without brush

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.59 / $10.59 / $10.59
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.28 / $12.16 / $42.02
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.27 / $13.69 / $16.32
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.29 / $10.29 / $10.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.75 / $10.29 / $13.16
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.71 / $17.14 / $25.71
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.69 / $4.69 / $12.87
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.75 / $13.16 / $20.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.66 / $7.27 / $10.94