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New Mexico rates for HCPCS E1172

Amputee wheelchair, detachable arms (desk or full-length) without footrests or legrest

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$635.30 / $851.08 / $851.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$840.94 / $840.94 / $840.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.75 / $840.94 / $840.94
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.84 / $205.35 / $1,272.72
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$374.67 / $671.27 / $1,054.85
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.75 / $840.94 / $840.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$460.33 / $575.99 / $711.59