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Montana rates for HCPCS E0967

Manual wheelchair accessory, hand rim with projections, any type, replacement only, each

Facilitymedian $69 · 10th–90th $36–$1070%10%20%10th90th$69Professionalmedian $69 · 10th–90th $43–$1070%20%10th90th$69$5.0$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. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$63.10 / $63.10 / $309.03
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$44.67 / $95.50 / $95.50
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$44.67 / $95.50 / $95.50
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$54.95 / $69.18 / $107.15
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$54.95 / $69.18 / $107.15
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$44.67 / $91.20 / $109.65
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$67.61 / $79.43 / $95.50
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.55 / $35.48 / $61.66
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$35.48 / $40.74 / $58.88