go back

New Mexico rates for HCPCS A4419

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

Facilitymedian $2 · 10th–90th $1$30%10%10th90th$2Professionalmedian $1 · 10th–90th $1$20%50%90th$1$0.1$0.5$2.0$10.0$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
$1.00 / $1.00 / $1.00
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $1.00 / $2.00
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.45 / $1.91 / $2.29
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.45 / $1.45 / $1.45
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.23 / $1.23 / $2.75
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.95 / $2.40 / $4.17
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.68 / $1.78 / $2.75
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.23 / $1.23 / $2.51
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.93 / $1.02 / $2.45
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.93 / $1.02 / $1.55