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New Mexico rates for HCPCS A4413

Ostomy pouch, drainable, high output, for use on a barrier with flange (two-piece system), with filter, each

Facilitymedian $19 · 10th–90th $3–$630%10%10th90th$19Professionalmedian $4 · 10th–90th $3–$60%20%10th90th$4$2.0$20.0$200.0$2.0K$20.0K

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
$5.01 / $5.01 / $5.01
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.02 / $3.98 / $6.03
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16.60 / $40.74 / $67.61
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.57 / $6.17 / $7.41
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.57 / $4.57 / $4.57
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.89 / $3.89 / $9.55
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.17 / $7.76 / $13.49
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.09 / $5.62 / $8.71
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.89 / $3.89 / $8.13
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.02 / $3.24 / $7.76
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.95 / $3.24 / $4.90