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Montana rates for HCPCS E1086

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

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
$359.59 / $880.56 / $1,288.74
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$346.63 / $359.59 / $1,077.26
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$359.59 / $370.38 / $1,288.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$498.35 / $530.74 / $884.56