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Montana rates for HCPCS E0961

Manual Wheelchair Accessory Wheel Lock Brake Extension (Handle) Each.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.38 / $11.38 / $11.38
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.35 / $3.35 / $3.35
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.88 / $15.88 / $35.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.88 / $31.23 / $35.90
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.88 / $33.26 / $49.97
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.88 / $31.23 / $35.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.92 / $12.92 / $21.54