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New Mexico rates for HCPCS A4417

Ostomy pouch, closed, with barrier attached, with built-in convexity, with filter (one piece), each

Facilitymedian $3 · 10th–90th $1–$50%10%10th90th$3Professionalmedian $3 · 10th–90th $2–$40%20%40%10th90th$3$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
$3.02 / $3.02 / $3.02
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.00 / $3.02 / $3.98
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.16 / $3.16 / $3.16
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.63 / $2.63 / $6.31
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.17 / $5.25 / $9.12
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.41 / $3.80 / $5.89
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.63 / $2.63 / $5.50
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.04 / $2.19 / $5.37
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.00 / $2.19 / $3.31