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New Mexico rates for HCPCS E2216

Manual wheelchair accessory, foam filled propulsion tire, any size, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.08 / $32.26 / $162.74
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.06 / $36.06 / $36.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.06 / $36.06 / $45.08
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.11 / $40.21 / $75.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.06 / $37.13 / $40.43
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.06 / $36.06 / $45.08
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.26 / $27.30 / $43.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.45 / $27.76 / $46.27