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Montana rates for HCPCS E0957

Wheelchair Accessory Medial Thigh Support Any Type Including Fixed Mounting Hardware Each

Insurance Carrier
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.94 / $16.94 / $16.94
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$94.65 / $94.65 / $169.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.65 / $144.83 / $169.92
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$94.65 / $132.90 / $231.73
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.65 / $144.83 / $169.92
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.58 / $70.58 / $117.63