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New Mexico rates for HCPCS A4405

Ostomy skin barrier, nonpectin-based, paste, per oz

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.47 / $3.47 / $3.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.30 / $3.39 / $13.78
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.86 / $3.81 / $4.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.86 / $2.86 / $2.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.43 / $2.86 / $3.37
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.81 / $4.76 / $7.15
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.30 / $1.30 / $3.57
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.43 / $3.37 / $5.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.85 / $2.02 / $3.03