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New Mexico rates for HCPCS E2391

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.88 / $13.23 / $60.38
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.22 / $1.62 / $2.02
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.81 / $13.81 / $13.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.81 / $13.81 / $16.23
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.63 / $3.06 / $32.29
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.84 / $11.61 / $16.59
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.81 / $13.81 / $16.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.30 / $11.33 / $18.30