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Montana rates for HCPCS E1087

High Strength Lightweight Wheelchair Fixed Full Length Arms Swing Away Detachable Elevating Leg Rests (Special Coverage Instructions Apply. See Cim: 60-9)

Insurance Carrier
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.95 / $124.95 / $1,594.08
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$106.07 / $176.79 / $1,280.58
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.95 / $124.95 / $1,594.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$594.46 / $744.02 / $1,240.04