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New Mexico rates for HCPCS A5052

Ostomy pouch, closed; without barrier attached (one piece), each

Facilitymedian $1 · 10th–90th $1–$20%10%10th90th$1Professionalmedian $1 · 10th–90th $1–$10%50%90th$1$1.0$2.0$5.0$10.0$20.0$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
$1.00 / $1.00 / $1.00
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $1.00 / $1.00
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.26 / $1.26 / $1.26
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.07 / $1.07 / $2.40
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.45 / $3.02 / $4.57
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.56 / $1.51 / $2.34
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.07 / $1.07 / $2.19
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.81 / $0.87 / $2.14
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.79 / $0.87 / $1.32