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New Mexico rates for HCPCS E2394

Power wheelchair accessory, drive wheel excludes tire, any size, replacement only, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.88 / $44.67 / $288.40
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.07 / $4.68 / $7.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.71 / $45.71 / $45.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.71 / $45.71 / $54.95
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.50 / $36.31 / $89.13
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.51 / $42.66 / $75.86
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.12 / $45.71 / $54.95
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.17 / $38.02 / $56.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.31 / $42.66 / $69.18