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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

Facilitymedian $6 · 10th–90th $2–$90%10%10th90th$6Professionalmedian $5 · 10th–90th $3–$70%20%10th90th$5$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
$6.03 / $6.03 / $6.03
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.02 / $5.01 / $7.08
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.27 / $6.76 / $6.76
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.01 / $5.01 / $5.01
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.27 / $4.27 / $10.23
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.77 / $12.30 / $21.38
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.29 / $6.03 / $9.33
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.27 / $4.27 / $8.71
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.24 / $3.55 / $8.51
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.24 / $3.55 / $5.37