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New Mexico rates for HCPCS E2221

Manual Wheelchair Accessory Solid (Rubber/Plastic) Caster Tire (Removable) Any Size Replacement Only Each. (Desc Revised 1/1/2017)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.71 / $19.70 / $88.35
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.84 / $2.45 / $3.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.72 / $20.72 / $20.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.72 / $20.72 / $24.62
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.08 / $25.64 / $48.09
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.77 / $17.11 / $24.70
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.72 / $20.72 / $24.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.83 / $15.28 / $22.81