go back

New Mexico rates for HCPCS A4412

Ostomy pouch, drainable, high output, for use on a barrier with flange (two-piece system), without filter, each

Facilitymedian $2 · 10th–90th $1–$40%10%10th90th$2Professionalmedian $2 · 10th–90th $1–$30%20%40%10th90th$2$1.0$2.0$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
$2.00 / $2.00 / $2.00
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $2.00 / $3.02
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.29 / $3.02 / $3.63
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.29 / $2.29 / $2.29
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.95 / $1.95 / $4.79
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.02 / $3.80 / $6.61
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.05 / $2.69 / $4.90
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.95 / $1.95 / $3.98
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.48 / $1.62 / $3.89
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.45 / $1.58 / $2.40