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New Mexico rates for HCPCS E2387

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.18 / $38.02 / $245.47
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.39 / $4.17 / $6.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.90 / $38.90 / $38.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.90 / $38.90 / $46.77
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.57 / $30.90 / $75.86
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.70 / $35.48 / $63.10
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.88 / $38.90 / $46.77
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.63 / $30.90 / $46.77
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.51 / $37.15 / $60.26