go back

New Mexico rates for HCPCS A4432

Ostomy pouch, urinary; for use on barrier with nonlocking flange, with faucet-type tap with valve (two piece), each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.64 / $3.64 / $3.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.01 / $3.56 / $14.47
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.00 / $4.00 / $4.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.01 / $3.01 / $3.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.56 / $3.01 / $3.54
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.87 / $7.34 / $11.01
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.37 / $1.37 / $3.77
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.56 / $3.54 / $5.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.95 / $2.12 / $3.20