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New Mexico rates for HCPCS E1028

Wheelchair accessory, manual swingaway, retractable or removable mounting hardware, other

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.30 / $108.91 / $196.64
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.10 / $12.13 / $16.72
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$110.00 / $110.00 / $110.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.15 / $13.15 / $110.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.84 / $33.37 / $241.27
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.00 / $101.24 / $136.53
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.15 / $67.18 / $110.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.62 / $110.60 / $184.34