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Montana rates for HCPCS E0959

Manual wheelchair accessory, adapter for amputee, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.98 / $39.81 / $39.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.30 / $26.30 / $63.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.30 / $40.74 / $63.10
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.02 / $47.86 / $67.61
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.02 / $47.86 / $67.61
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.78 / $50.12 / $74.13
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.74 / $63.10 / $79.43
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.09 / $20.89 / $38.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.44 / $25.12 / $28.84