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Montana rates for HCPCS E0974

Manual wheelchair accessory, antirollback device, each

Insurance Carrier
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.49 / $9.49 / $9.49
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.10 / $44.10 / $97.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.10 / $69.98 / $97.78
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.10 / $74.50 / $111.97
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.10 / $69.98 / $97.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.99 / $42.50 / $70.83