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New Mexico rates for HCPCS A4419

Ostomy pouch, closed; for use on barrier with nonlocking flange, with filter (two piece), each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.75 / $1.75 / $1.75
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.45 / $1.71 / $6.97
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.44 / $1.92 / $2.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.45 / $1.45 / $1.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.23 / $1.23 / $2.78
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.92 / $2.41 / $3.61
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.67 / $0.67 / $1.83
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.23 / $1.71 / $2.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.94 / $1.03 / $1.56