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New Mexico rates for HCPCS A5072

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

Facilitymedian $3 · 10th–90th $1–$50%10%10th90th$3Professionalmedian $3 · 10th–90th $1–$30%20%40%10th90th$3$1.0$2.0$5.0$10.0$20.0$50.0

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
$1.00 / $3.02 / $3.02
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.88 / $2.88 / $2.88
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.04 / $2.45 / $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
$2.04 / $2.45 / $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