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Montana rates for HCPCS E1028

Wheelchair accessory, manual swingaway, retractable or removable mounting hardware, other

Insurance Carrier
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.46 / $22.46 / $22.46
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$110.00 / $110.00 / $110.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.15 / $110.00 / $216.87
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.86 / $140.44 / $346.99
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.15 / $110.00 / $216.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.13 / $73.62 / $122.70