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New Mexico rates for HCPCS E2222

Manual wheelchair accessory, solid (rubber/plastic) caster tire with integrated wheel, any size, replacement only, each

Facilitymedian $11 · 10th–90th $1–$210%10%20%10th90th$11Professionalmedian $15 · 10th–90th $2–$1070%10%10th90th$15$1.0$2.0$5.0$10.0$20.0$50.0$100.0

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
$12.02 / $15.85 / $107.15
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.48 / $2.09 / $2.09
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$17.38 / $17.38 / $17.38
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.79 / $17.38 / $20.89
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.63 / $13.80 / $40.74
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.13 / $14.79 / $23.99
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.94 / $17.38 / $20.89
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.12 / $9.33 / $19.05
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.22 / $12.88 / $18.62