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Montana rates for HCPCS E1030

Wheelchair accessory, ventilator tray, gimbaled

Insurance Carrier
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$606.51 / $606.51 / $606.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.05 / $606.51 / $1,223.53
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$606.51 / $1,030.00 / $1,957.65
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.05 / $606.51 / $1,223.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$624.00 / $697.80 / $1,163.00