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Montana rates for HCPCS E0967

Manual Wheelchair Accessory Hand Rim With Projections Any Type Replacement Only Each (Desc Revised 1/1/2017)

Insurance Carrier
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.33 / $44.33 / $94.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.33 / $94.76 / $94.76
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.33 / $72.18 / $108.51
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.33 / $94.76 / $94.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.17 / $41.08 / $68.47