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Montana rates for HCPCS E1012

Wheelchair Accessory Addition To Power Seating System Center Mount Power Elevating Leg Rest/ Platform Complete System Any Type Each Deleted 12/31/2004. Previously: Integrated Seating System Planar For Pediatric Wheelchair

Insurance Carrier
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$133.03 / $133.03 / $133.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$795.00 / $795.00 / $795.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.49 / $795.00 / $818.85
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$98.66 / $137.74 / $795.00
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.49 / $795.00 / $818.85
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$484.44 / $668.58 / $1,114.30