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New Mexico rates for HCPCS E2389

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

Facilitymedian $15 · 10th–90th $2–$250%10%10th90th$15Professionalmedian $18 · 10th–90th $3–$1410%10%10th90th$18$2.0$5.0$10.0$20.0$50.0$100.0

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
$14.13 / $19.95 / $141.25
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.70 / $2.57 / $2.57
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$21.38 / $21.38 / $21.38
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.78 / $21.38 / $25.70
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.00 / $14.79 / $48.98
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.47 / $16.98 / $26.92
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.91 / $21.38 / $25.70
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.51 / $12.30 / $24.55
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.79 / $15.85 / $24.55