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New Mexico rates for HCPCS A5061

Ostomy pouch, drainable; with barrier attached, (one piece), each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.59 / $3.59 / $3.59
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.96 / $3.50 / $14.23
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.16 / $23.99 / $42.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.96 / $3.94 / $4.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.97 / $2.97 / $2.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.52 / $2.97 / $3.49
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.95 / $4.94 / $8.05
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.35 / $1.35 / $3.70
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.52 / $3.49 / $5.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.92 / $2.09 / $3.15