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New Mexico rates for HCPCS E2390

Power wheelchair accessory, solid (rubber/plastic) drive wheel tire, any size, replacement only, each

Facilitymedian $23 · 10th–90th $3–$390%10%10th90th$23Professionalmedian $29 · 10th–90th $4–$2190%20%10th90th$29$2.0$5.0$10.0$20.0$50.0$100.0$200.0

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
$22.91 / $30.90 / $218.78
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.63 / $3.98 / $3.98
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$33.11 / $33.11 / $33.11
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.18 / $33.11 / $39.81
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.09 / $22.91 / $74.13
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16.22 / $26.30 / $41.69
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.80 / $33.11 / $39.81
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.34 / $19.05 / $38.02
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.91 / $24.55 / $38.02