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Montana rates for HCPCS E1004

Wheelchair accessory, power seating system, recline only, with mechanical shear reduction

Insurance Carrier
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,282.89 / $3,282.89 / $3,282.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$456.28 / $3,282.89 / $5,112.50
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,282.89 / $4,306.22 / $8,180.00
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$456.28 / $3,282.89 / $5,112.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,607.38 / $2,859.96 / $4,766.60