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New Mexico rates for HCPCS A5056

Ostomy pouch, drainable, with extended wear barrier attached, with filter, (one piece), each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.75 / $4.75 / $4.75
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.92 / $4.63 / $18.84
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.92 / $5.22 / $6.22
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.93 / $3.93 / $3.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.34 / $3.93 / $4.62
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.65 / $9.57 / $14.35
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.93 / $4.07 / $4.30
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.34 / $4.62 / $7.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.56 / $2.77 / $4.26