go back

Montana rates for HCPCS E1012

Wheelchair accessory, addition to power seating system, center mount power elevating leg rest/platform, complete system, any type, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,071.52 / $1,071.52 / $1,071.52
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.83 / $131.83 / $131.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$794.33 / $794.33 / $794.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.15 / $794.33 / $1,096.48
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.72 / $141.25 / $794.33
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $794.33 / $1,737.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.48 / $524.81 / $1,047.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.78 / $676.08 / $776.25