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New Mexico rates for HCPCS A4426

Ostomy pouch, drainable; for use on barrier with locking flange (two-piece system), each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.77 / $2.77 / $2.77
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.29 / $2.71 / $11.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.27 / $3.04 / $3.63
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.29 / $2.29 / $2.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.95 / $2.29 / $2.69
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.04 / $3.81 / $5.71
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.04 / $1.04 / $2.87
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.95 / $2.69 / $4.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.48 / $1.61 / $2.44