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New Mexico rates for HCPCS K0857

Power wheelchair, group 3 standard, single power option, captain's chair, patient weight capacity up to and including 300 pounds

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,850.39 / $6,497.71 / $6,497.71
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,818.66 / $3,818.66 / $3,818.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$738.67 / $3,818.66 / $3,818.66
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$609.53 / $1,567.72 / $9,718.92
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,934.48 / $5,124.95 / $8,053.50
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$738.67 / $3,818.66 / $3,818.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,593.19 / $2,954.68 / $4,450.89