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New Mexico rates for HCPCS E2389

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.95 / $20.02 / $92.48
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.93 / $2.57 / $3.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.16 / $21.16 / $21.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.16 / $21.16 / $25.46
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.59 / $4.86 / $48.88
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.47 / $16.48 / $25.10
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.16 / $21.16 / $25.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.91 / $15.99 / $24.42