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New Mexico rates for HCPCS A5054

Ostomy pouch, closed; for use on barrier with flange (two piece), each

Facilitymedian $2 · 10th–90th $1–$30%10%10th90th$2Professionalmedian $1 · 10th–90th $1–$20%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 / $2.00
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.51 / $2.00 / $2.40
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.51 / $1.51 / $1.51
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.29 / $1.29 / $3.16
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.00 / $2.51 / $3.80
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.68 / $1.82 / $2.82
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.29 / $1.29 / $2.63
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.98 / $1.07 / $2.57
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.95 / $1.07 / $1.58