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New Mexico rates for HCPCS E2628

Wheelchair accessory, shoulder elbow, mobile arm support attached to wheelchair, balanced, reclining

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$408.83 / $545.37 / $2,634.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$369.39 / $369.39 / $369.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$369.39 / $369.39 / $711.17
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.97 / $131.95 / $1,037.85
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$369.39 / $640.58 / $686.53
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$369.39 / $369.39 / $711.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$409.01 / $435.42 / $681.69