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New Mexico rates for HCPCS A5056

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

Facilitymedian $4 · 10th–90th $3–$80%10%20%10th90th$4Professionalmedian $4 · 10th–90th $2–$50%20%40%10th90th$4$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
$3.98 / $3.98 / $3.98
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.00 / $3.98 / $5.01
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.31 / $5.25 / $5.25
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.89 / $3.89 / $3.89
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.31 / $3.31 / $7.94
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.59 / $9.55 / $16.60
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.72 / $4.47 / $8.51
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.31 / $3.31 / $6.92
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.51 / $2.75 / $6.61
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.57 / $2.75 / $4.27