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New Mexico rates for HCPCS E2391

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

Facilitymedian $11 · 10th–90th $1–$170%10%20%10th90th$11Professionalmedian $12 · 10th–90th $2–$870%10%10th90th$12$1.0$2.0$5.0$10.0$20.0$50.0

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
$8.91 / $12.88 / $87.10
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.23 / $1.62 / $1.62
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13.80 / $13.80 / $13.80
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.75 / $13.80 / $16.22
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.48 / $10.96 / $32.36
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.76 / $12.02 / $19.95
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.61 / $13.80 / $16.22
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.12 / $9.12 / $15.14
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.47 / $11.22 / $18.20