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Montana rates for HCPCS E1092

Wide heavy-duty wheel chair, detachable arms (desk or full-length), swing-away detachable elevating legrests

Insurance Carrier
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$860.04 / $860.04 / $860.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$126.91 / $860.04 / $1,619.28
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$107.74 / $491.54 / $1,300.63
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$126.91 / $860.04 / $1,619.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$603.98 / $755.72 / $1,259.53