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Montana rates for HCPCS E0303

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, with mattress

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,162.71 / $1,162.71 / $1,311.79
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$266.83 / $266.83 / $266.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$163.71 / $163.71 / $3,295.80
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$197.71 / $206.70 / $2,651.60
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$163.71 / $163.71 / $3,295.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,108.67 / $1,108.67 / $1,334.77