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New Mexico rates for HCPCS A5131

Appliance cleaner, incontinence and ostomy appliances, per 16 oz

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.09 / $16.09 / $16.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.30 / $15.71 / $63.88
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.27 / $17.69 / $21.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.30 / $13.30 / $13.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.31 / $13.30 / $16.32
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.72 / $22.15 / $33.22
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.07 / $6.07 / $16.64
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.31 / $15.65 / $22.07
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.52 / $8.52 / $8.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.61 / $9.39 / $14.15