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New Mexico rates for HCPCS A4430

Ostomy pouch, urinary, with extended wear 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
$8.65 / $8.65 / $8.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.14 / $8.44 / $34.32
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.13 / $9.51 / $11.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.15 / $7.15 / $7.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.08 / $7.15 / $8.41
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.52 / $11.90 / $17.85
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.26 / $3.26 / $8.94
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.08 / $8.41 / $13.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.63 / $5.05 / $7.61