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New Mexico rates for HCPCS A4407

Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 in or smaller, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.90 / $8.90 / $8.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.35 / $8.68 / $35.32
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.34 / $9.77 / $11.65
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.35 / $7.35 / $7.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.25 / $7.35 / $8.65
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.34 / $17.93 / $26.89
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.35 / $3.35 / $9.19
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.25 / $8.65 / $14.34
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.72 / $4.72 / $4.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.76 / $5.19 / $7.82