go back

Montana rates for HCPCS E0995

Wheelchair accessory, calf rest/pad, replacement only, each

Facilitymedian $28 · 10th–90th $13–$400%10%20%10th90th$28Professionalmedian $24 · 10th–90th $4–$400%10%20%10th90th$24$2.0$5.0$10.0$20.0$50.0$100.0

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
$23.99 / $23.99 / $177.83
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.63 / $3.63 / $3.63
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$21.88 / $36.31 / $36.31
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.88 / $36.31 / $36.31
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$22.39 / $28.18 / $39.81
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.39 / $28.18 / $39.81
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$21.88 / $36.31 / $51.29
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.12 / $36.31 / $79.43
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.35 / $13.18 / $24.55
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.49 / $15.49 / $25.70