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Montana rates for HCPCS E0301

Hospital bed, heavy-duty, extra wide, with weight capacity greater than 350 pounds, but less than or equal to 600 pounds, with any type side rails, without mattress

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,248.55 / $1,248.55 / $1,248.55
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.85 / $245.85 / $245.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$160.65 / $160.65 / $2,896.68
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$184.09 / $196.72 / $2,361.27
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$160.65 / $213.58 / $2,896.68
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$98.55 / $721.46 / $961.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$932.84 / $993.47 / $1,655.79