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New Mexico rates for HCPCS K0004

High Strength Lightweight Wheelchair

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$392.78 / $526.17 / $526.17
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.56 / $40.74 / $80.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$654.75 / $654.75 / $654.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.35 / $654.75 / $654.75
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.57 / $126.70 / $1,736.28
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$511.16 / $511.16 / $654.75
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.35 / $654.75 / $654.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$397.78 / $448.28 / $778.32