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New Mexico rates for HCPCS E2217

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

Facilitymedian $27 · 10th–90th $3–$360%10%20%10th90th$27Professionalmedian $28 · 10th–90th $21–$2090%20%10th90th$28$5.0$10.0$20.0$50.0$100.0$200.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.89 / $28.18 / $208.93
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$31.62 / $31.62 / $31.62
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.92 / $31.62 / $39.81
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.47 / $37.15 / $69.18
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$33.11 / $33.11 / $40.74
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.92 / $31.62 / $100.00
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.63 / $19.95 / $36.31
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.91 / $24.55 / $40.74