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New Mexico rates for HCPCS E2627

Wheelchair accessory, shoulder elbow, mobile arm support attached to wheelchair, balanced, adjustable Rancho type

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$567.32 / $760.00 / $3,455.08
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.53 / $94.04 / $116.67
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$542.66 / $542.66 / $542.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$542.66 / $542.66 / $910.19
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$118.41 / $177.61 / $1,396.93
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$542.66 / $822.87 / $952.67
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$542.66 / $542.66 / $910.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$497.69 / $561.16 / $904.89