go back

New Mexico rates for HCPCS A5062

Ostomy pouch, drainable; without barrier attached (one piece), each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.11 / $2.11 / $2.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.74 / $2.21 / $8.40
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.87 / $2.49 / $2.97
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.87 / $1.87 / $1.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.59 / $1.87 / $2.20
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.66 / $4.58 / $6.87
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.85 / $0.85 / $2.33
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.59 / $2.20 / $3.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.21 / $1.32 / $1.98