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New Mexico rates for HCPCS A5061

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

Facilitymedian $12 · 10th–90th $2–$410%10%10th90th$12Professionalmedian $3 · 10th–90th $2–$40%20%40%10th90th$3$1.0$10.0$100.0$1.0K$10.0K$100.0K

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
$3.02 / $3.02 / $3.02
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.00 / $3.02 / $3.98
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.72 / $26.30 / $42.66
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.51 / $3.98 / $3.98
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.95 / $2.95 / $2.95
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.51 / $2.51 / $6.03
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.98 / $4.90 / $7.41
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.35 / $3.55 / $5.50
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.51 / $2.51 / $5.13
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.91 / $2.09 / $5.01
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.91 / $2.09 / $3.16