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New Mexico rates for HCPCS A5072

Ostomy Pouch Urinary; Without Barrier Attached (1piece) Each (Updated 01-01-2003) 30)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.49 / $3.49 / $3.49
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.89 / $3.50 / $14.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.86 / $2.86 / $2.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.02 / $2.86 / $3.41
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.95 / $4.94 / $7.41
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.35 / $1.35 / $3.70
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.02 / $2.86 / $4.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.93 / $2.09 / $3.15