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New Mexico rates for HCPCS E1100

Semi-Reclining Wheelchair Fixed Full Length Arms Swing Away Detachable Elevating Leg Rests (Special Coverage Instructions Apply. See Cim: 60-9)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$673.05 / $901.63 / $901.63
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$999.36 / $999.36 / $999.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.55 / $999.36 / $999.36
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$116.02 / $217.54 / $1,348.68
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$397.08 / $711.14 / $1,117.51
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.55 / $999.36 / $999.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$447.43 / $610.41 / $754.15