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New Mexico rates for HCPCS E0958

Manual wheelchair accessory, one-arm drive attachment, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.53 / $313.39 / $313.39
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.45 / $39.27 / $48.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$238.50 / $238.50 / $238.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$238.50 / $238.50 / $238.50
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.28 / $75.54 / $513.84
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$166.91 / $238.50 / $389.40
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$238.50 / $238.50 / $238.50
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.89 / $201.83 / $269.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$168.16 / $205.25 / $317.02