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Montana rates for HCPCS E0959

Manual Wheelchair Accessr, One-Arm Drive Attachment, Each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.91 / $16.91 / $16.91
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.10 / $26.10 / $62.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.10 / $46.42 / $62.87
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.59 / $49.40 / $74.27
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.10 / $46.42 / $62.87
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.09 / $15.72 / $22.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.68 / $25.23 / $42.05