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New Mexico rates for HCPCS E1200

Amputee wheelchair, fixed full-length arms, swing-away detachable footrest

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$564.19 / $755.80 / $755.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$746.73 / $746.73 / $746.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.92 / $746.73 / $746.73
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.00 / $182.35 / $1,130.52
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$332.82 / $596.12 / $936.76
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.92 / $746.73 / $746.73
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$375.16 / $511.68 / $632.25