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Montana rates for HCPCS E1100

Semi-reclining wheelchair, fixed full-length arms, swing-away detachable elevating legrests

Insurance Carrier
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$999.36 / $999.36 / $999.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.55 / $999.36 / $1,137.96
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.72 / $397.08 / $1,050.38
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.55 / $999.36 / $1,137.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$487.83 / $610.41 / $1,017.37