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New Mexico rates for HCPCS E1234

Wheelchair, pediatric size, tilt-in-space, folding, adjustable, without seating system

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,250.80 / $1,675.60 / $1,675.60
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$161.47 / $215.30 / $256.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,208.78 / $1,208.78 / $1,208.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.49 / $1,208.78 / $1,208.78
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$157.19 / $592.20 / $3,102.32
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$737.82 / $1,311.69 / $2,076.80
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.49 / $1,208.78 / $1,208.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$968.63 / $1,134.22 / $1,721.59