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New Mexico rates for HCPCS E1250

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$348.04 / $437.44 / $437.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$200.00 / $200.00 / $200.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$200.00 / $200.00 / $200.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $119.14 / $1,758.10
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$281.01 / $367.74 / $577.88
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$200.00 / $200.00 / $200.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.98 / $430.26 / $658.22