go back

New Mexico rates for HCPCS A4433

Ostomy Pouch Urinary; For Use On Barrier With Locking Flange (2 Piece) Each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.40 / $3.40 / $3.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.81 / $3.32 / $13.50
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.81 / $3.75 / $4.46
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.81 / $2.81 / $2.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.39 / $2.81 / $3.31
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.75 / $4.69 / $7.03
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.28 / $1.28 / $3.51
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.39 / $3.31 / $5.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.82 / $1.99 / $2.98