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New Mexico rates for HCPCS A4435

Ostomy pouch, drainable, high output, with extended wear barrier (one-piece system), with or without filter, each

Facilitymedian $5 · 10th–90th $3–$90%10%20%10th90th$5Professionalmedian $5 · 10th–90th $3–$60%20%10th90th$5$0.1$0.5$2.0$10.0$50.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.01 / $5.01 / $5.01
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.02 / $5.01 / $6.03
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.79 / $4.79 / $4.79
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.07 / $4.07 / $10.00
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.46 / $8.13 / $14.13
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.47 / $5.13 / $9.77
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.07 / $4.07 / $8.51
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.16 / $3.47 / $8.13
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.16 / $3.39 / $5.37