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New Mexico rates for HCPCS A5073

Ostomy pouch, urinary; for use on barrier with flange (two piece), each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.23 / $3.23 / $3.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.54 / $3.13 / $12.80
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.65 / $3.53 / $4.21
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.67 / $2.67 / $2.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.27 / $2.67 / $3.41
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.53 / $4.42 / $6.63
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.22 / $1.22 / $3.32
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.27 / $3.41 / $5.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.73 / $1.88 / $2.84