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New Mexico rates for HCPCS E2220

Manual wheelchair accessory, solid (rubber/plastic) propulsion tire, any size, replacement only, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.14 / $20.89 / $144.54
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.95 / $2.04 / $3.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.91 / $22.91 / $22.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.91 / $22.91 / $27.54
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.31 / $18.20 / $52.48
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.96 / $17.38 / $27.54
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.72 / $22.91 / $27.54
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.48 / $15.49 / $25.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.45 / $16.22 / $25.70