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New Mexico rates for HCPCS A5052

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.51 / $1.51 / $1.51
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.25 / $1.47 / $1.51
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.25 / $1.25 / $1.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.06 / $1.06 / $2.39
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.44 / $3.05 / $4.57
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.56 / $0.56 / $1.56
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.06 / $1.47 / $2.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.81 / $0.88 / $1.33