go back

New Mexico rates for HCPCS E1221

Wheelchair With Fixed Arm Footrests (Special Coverage Instructions Apply. See Cim: 60-6)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$308.08 / $350.81 / $350.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$407.81 / $407.81 / $407.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.24 / $407.81 / $407.81
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.14 / $84.64 / $524.76
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$181.71 / $325.52 / $511.54
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.24 / $407.81 / $407.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.23 / $279.33 / $345.16