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New Mexico rates for HCPCS A4434

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.82 / $3.82 / $3.82
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.15 / $3.73 / $15.16
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.51 / $3.51 / $3.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.98 / $3.51 / $3.71
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.20 / $5.25 / $7.87
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.44 / $1.44 / $3.95
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.98 / $3.51 / $4.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.04 / $2.23 / $3.36