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New Mexico rates for HCPCS E2377

Power wheelchair accessory, expandable controller, including all related electronics and mounting hardware, upgrade provided at initial issue

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.04 / $346.74 / $602.56
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.51 / $35.48 / $53.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$281.84 / $281.84 / $281.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.65 / $281.84 / $281.84
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.67 / $123.03 / $977.24
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$186.21 / $288.40 / $436.52
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.65 / $239.88 / $281.84
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.30 / $263.03 / $446.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.47 / $275.42 / $436.52