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New Mexico rates for HCPCS K0814

Power wheelchair, group 1 standard, portable, captain's chair, patient weight capacity up to and including 300 pounds

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,777.09 / $2,380.63 / $2,380.63
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,416.31 / $2,416.31 / $2,416.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.99 / $2,416.31 / $2,416.31
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$222.92 / $493.50 / $5,187.24
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,099.67 / $2,212.98 / $2,950.64
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.99 / $2,416.31 / $2,416.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,228.59 / $1,458.04 / $2,375.30