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Montana rates for HCPCS E1084

Hemi-wheelchair, detachable arms desk or full-length arms, swing-away detachable elevating legrests

Insurance Carrier
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$359.59 / $359.59 / $359.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.09 / $359.59 / $1,089.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$72.47 / $359.59 / $992.70
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.09 / $359.59 / $1,089.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$461.06 / $576.86 / $576.86