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Montana rates for HCPCS E0955

Wheelchair accessory, headrest, cushioned, any type, including fixed mounting hardware, each

Facilitymedian $93 · 10th–90th $11$2040%10%20%10th90th$93Professionalmedian $129 · 10th–90th $23$2450%20%10th90th$129$10.0$20.0$50.0$100.0$200.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$138.04 / $138.04 / $398.11
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.91 / $22.91 / $22.91
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$128.82 / $128.82 / $128.82
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$128.82 / $128.82 / $213.80
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$24.55 / $138.04 / $338.84
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$79.43 / $128.82 / $245.47
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9.33 / $70.79 / $125.89
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$79.43 / $79.43 / $134.90