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Wheelchair Accessory, Ventilator Tray, Gimbaled

Montana rates for HCPCS E1030

Wheelchair accessory, ventilator tray, gimbaled

Rates data updated October 2026.

How much does Wheelchair Accessory, Ventilator Tray, Gimbaled cost?

$871

Typical negotiated rate. In Montana, October 2026.

Insurers have agreed to pay about $871 for this service. The price depends on where it is billed: about $1,023 from a physician practice, and about $178 from a hospital or other facility.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 5 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$1,023$603 to $1,445
FacilityA hospital or hospital-owned outpatient department$178$145 to $871

How much rates vary

Facilitymedian $178 · 10th to 90th $145 to $1,072Professionalmedian $1,023 · 10th to 90th $79 to $1,698
$100$200$500$1K$2Kfacility $178professional $1,023

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
None
Typical Low
$1,023.29
Median
$1,096.48
Typical High
$1,230.27
Cigna
Setting
Facility
Modifier
None
Typical Low
$602.56
Median
$602.56
Typical High
$645.65
Cigna
Setting
Professional
Modifier
None
Typical Low
$112.20
Median
$602.56
Typical High
$1,230.27
Cigna
Setting
Professional
Modifier
RR · Rental
Typical Low
$147.91
Median
$147.91
Typical High
$147.91
MountainHealth Co-op
Setting
Facility
Modifier
None
Typical Low
$144.54
Median
$177.83
Typical High
$1,071.52
MountainHealth Co-op
Setting
Professional
Modifier
None
Typical Low
$158.49
Median
$177.83
Typical High
$870.96
Providence
Setting
Facility
Modifier
None
Typical Low
$112.20
Median
$602.56
Typical High
$1,445.44
Providence
Setting
Professional
Modifier
None
Typical Low
$79.43
Median
$1,122.02
Typical High
$1,698.24
Providence
Setting
Professional
Modifier
RR · Rental
Typical Low
$109.65
Median
$147.91
Typical High
$147.91
Providence
Setting
Professional
Modifier
UE · Used equipment
Typical Low
$776.25
Median
$1,096.48
Typical High
$1,288.25
United
Setting
Professional
Modifier
None
Typical Low
$645.65
Median
$691.83
Typical High
$1,174.90
United
Setting
Professional
Modifier
RR · Rental
Typical Low
$64.57
Median
$69.18
Typical High
$117.49
United
Setting
Professional
Modifier
UE · Used equipment
Typical Low
$478.63
Median
$524.81
Typical High
$870.96

Where Montana sits

The same service costs 9.5 times more in North Dakota than in Mississippi. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Montana· 26th of 51

$871

ND $1,622MS $170

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.