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New Mexico rates for HCPCS A4415

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.08 / $6.08 / $6.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.03 / $5.94 / $24.15
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.01 / $6.69 / $7.97
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.03 / $5.03 / $5.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.28 / $5.03 / $5.92
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.81 / $12.27 / $18.40
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.29 / $2.29 / $6.30
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.28 / $5.92 / $9.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.26 / $3.55 / $5.36