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New Mexico rates for HCPCS A5071

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.10 / $6.10 / $6.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.04 / $5.95 / $24.22
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.03 / $6.71 / $7.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.04 / $5.04 / $5.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.28 / $5.04 / $5.93
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.72 / $8.40 / $12.60
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.29 / $2.29 / $6.31
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.28 / $5.93 / $9.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.26 / $3.56 / $5.36