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New Mexico rates for HCPCS E2386

Power wheelchair accessory, foam filled drive wheel tire, any size, replacement only, each

Facilitymedian $71 · 10th–90th $8–$1050%10%20%10th90th$71Professionalmedian $81 · 10th–90th $10–$5130%10%20%10th90th$81$10.0$20.0$50.0$100.0$200.0$500.0

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
$61.66 / $83.18 / $512.86
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.24 / $9.55 / $9.55
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$81.28 / $81.28 / $81.28
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$69.18 / $81.28 / $100.00
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.51 / $64.57 / $181.97
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$57.54 / $77.62 / $147.91
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$48.98 / $81.28 / $100.00
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.13 / $61.66 / $91.20
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$61.66 / $83.18 / $134.90