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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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.45 / $16.68 / $73.73
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.57 / $2.09 / $2.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.30 / $17.30 / $17.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.30 / $17.30 / $20.83
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.63 / $21.72 / $40.72
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.06 / $14.20 / $20.91
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.30 / $17.30 / $20.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.27 / $12.75 / $18.79