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New Mexico rates for HCPCS A4414

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.00 / $5.00 / $5.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.12 / $4.88 / $19.85
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.12 / $5.49 / $6.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.13 / $4.13 / $4.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.51 / $4.13 / $4.86
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.05 / $10.07 / $15.10
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.89 / $1.89 / $5.18
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.51 / $4.86 / $8.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.67 / $2.92 / $4.40