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New Mexico rates for HCPCS A4408

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.02 / $10.02 / $10.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.27 / $9.77 / $39.79
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.27 / $11.02 / $13.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.28 / $8.28 / $8.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.05 / $8.28 / $9.75
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.03 / $13.79 / $20.68
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.78 / $3.78 / $10.36
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.05 / $9.75 / $16.16
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.36 / $5.85 / $8.81