go back

New Mexico rates for HCPCS A5063

Ostomy pouch, drainable; for use on barrier with flange (two-piece system), each

Facilitymedian $14 · 10th–90th $2–$460%10%10th90th$14Professionalmedian $2 · 10th–90th $1–$30%50%10th90th$2$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
$2.00 / $2.00 / $2.00
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $2.00 / $3.02
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.02 / $29.51 / $47.86
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.29 / $3.02 / $3.63
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.29 / $2.29 / $2.29
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.95 / $1.95 / $4.79
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.47 / $5.50 / $8.32
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.05 / $2.82 / $4.57
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.95 / $1.95 / $3.98
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.48 / $1.62 / $3.89
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.45 / $1.58 / $2.40