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Montana rates for HCPCS E1130

Standard wheelchair, fixed full-length arms, fixed or swing-away detachable footrests

Insurance Carrier
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$651.96 / $678.28 / $678.28
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$182.43 / $300.58 / $566.98
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$651.96 / $678.28 / $678.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.27 / $279.33 / $285.41