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New Mexico rates for HCPCS K0858

Power wheelchair, group 3 heavy-duty, single power option, sling/solid seat/back, patient weight 301 to 450 pounds

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,899.70 / $7,903.37 / $7,903.37
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$761.63 / $1,015.51 / $1,209.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,978.93 / $4,978.93 / $4,978.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$898.47 / $4,978.93 / $4,978.93
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.39 / $1,906.86 / $11,821.56
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,785.60 / $6,233.64 / $9,795.71
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$898.47 / $4,978.93 / $4,978.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,322.84 / $3,593.88 / $5,413.70