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New Mexico rates for HCPCS A4427

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.83 / $2.83 / $2.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.34 / $2.76 / $11.21
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.34 / $3.12 / $3.71
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.34 / $2.34 / $2.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.99 / $2.34 / $2.75
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.12 / $3.90 / $5.85
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.06 / $1.06 / $2.92
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.99 / $2.75 / $4.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.51 / $1.65 / $2.48