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New Mexico rates for HCPCS A5051

Ostomy pouch, closed; with barrier attached (one piece), each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.09 / $2.09 / $2.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.73 / $2.04 / $2.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.73 / $1.73 / $1.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.47 / $1.73 / $2.04
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.30 / $2.88 / $4.32
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.79 / $0.79 / $2.17
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.47 / $2.04 / $3.37
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.12 / $1.22 / $1.84