go back

New Mexico rates for HCPCS A4431

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.31 / $6.31 / $6.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.20 / $6.16 / $25.05
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.59 / $5.59 / $5.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.75 / $5.59 / $6.14
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.93 / $8.67 / $13.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.38 / $2.38 / $6.53
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.75 / $5.59 / $7.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.38 / $3.68 / $5.55