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New Mexico rates for HCPCS A4424

Ostomy pouch, drainable, with barrier attached, with filter (one piece), each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.83 / $4.83 / $4.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.99 / $4.71 / $19.19
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.98 / $5.31 / $6.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.00 / $4.00 / $4.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.40 / $4.00 / $4.70
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.79 / $9.74 / $14.61
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.82 / $1.82 / $4.99
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.40 / $4.70 / $7.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.60 / $2.82 / $4.24