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Montana rates for HCPCS E0988

Manual wheelchair accessory, lever-activated, wheel drive, pair

Insurance Carrier
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,569.13 / $2,569.13 / $2,569.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.60 / $295.60 / $2,569.13
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$260.39 / $402.16 / $2,569.13
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.60 / $295.60 / $2,569.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$163.99 / $177.36 / $203.03