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New Mexico rates for HCPCS A4409

Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 in or smaller, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.31 / $6.31 / $6.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.20 / $6.16 / $25.05
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.20 / $6.93 / $8.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.22 / $5.22 / $5.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.44 / $5.22 / $6.14
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.16 / $12.71 / $19.06
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.38 / $2.38 / $6.53
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.44 / $6.14 / $10.16
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.38 / $3.68 / $5.55