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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

Facilitymedian $3 · 10th–90th $1–$40%10%10th90th$3Professionalmedian $2 · 10th–90th $1–$30%20%40%10th90th$2$1.0$2.0$5.0$10.0$20.0$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
$2.00 / $2.00 / $2.00
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $2.00 / $3.02
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.34 / $3.09 / $3.72
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.34 / $2.34 / $2.34
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.00 / $2.00 / $4.79
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.09 / $3.89 / $6.76
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.07 / $2.95 / $4.68
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.00 / $2.00 / $4.07
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.51 / $1.66 / $3.98
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.48 / $1.66 / $2.45