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New Mexico rates for HCPCS A4411

Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, with built-in convexity, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.17 / $5.17 / $5.17
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.26 / $5.05 / $20.54
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.26 / $5.69 / $6.77
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.28 / $4.28 / $4.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.64 / $4.28 / $5.03
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.69 / $7.12 / $10.68
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.95 / $1.95 / $5.36
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.64 / $5.03 / $8.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.77 / $3.02 / $4.55