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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

Facilitymedian $9 · 10th–90th $3–$130%10%10th90th$9Professionalmedian $7 · 10th–90th $4–$100%20%10th90th$7$5.0$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
$7.94 / $7.94 / $7.94
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.39 / $7.08 / $10.00
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.41 / $9.77 / $11.75
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.41 / $7.41 / $7.41
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.31 / $6.31 / $15.14
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.45 / $17.78 / $31.62
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.39 / $8.91 / $13.80
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.31 / $6.31 / $12.88
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.79 / $5.25 / $12.59
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.68 / $5.25 / $7.76