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New Mexico rates for HCPCS E2396

Power wheelchair accessory, caster fork, any size, replacement only, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.34 / $37.96 / $185.19
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.55 / $4.73 / $5.94
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.67 / $42.67 / $42.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.67 / $42.67 / $49.20
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.64 / $8.92 / $75.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.44 / $33.21 / $47.59
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.67 / $42.67 / $49.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.27 / $36.43 / $59.36