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New Mexico rates for HCPCS E2217

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.31 / $28.54 / $144.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.91 / $31.91 / $31.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.91 / $31.91 / $39.89
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.51 / $37.15 / $69.66
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.91 / $32.86 / $35.78
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.91 / $31.91 / $39.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.52 / $24.57 / $40.95