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New Mexico rates for HCPCS A4429

Ostomy pouch, urinary, with barrier attached, with built-in convexity, with faucet-type tap with valve (one piece), each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.36 / $8.36 / $8.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.92 / $8.17 / $33.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.54 / $7.54 / $7.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.41 / $6.41 / $14.31
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.22 / $11.53 / $17.29
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.15 / $3.15 / $8.66
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.41 / $8.14 / $13.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.48 / $4.88 / $7.36