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New Mexico rates for HCPCS E2375

Power wheelchair accessory, nonexpandable controller, including all related electronics and mounting hardware, replacement only

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$388.28 / $520.15 / $520.15
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.59 / $62.12 / $79.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$407.96 / $407.96 / $407.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.33 / $407.96 / $407.96
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.57 / $117.33 / $950.55
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$327.64 / $439.56 / $644.69
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.33 / $407.96 / $407.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$361.84 / $469.22 / $764.48