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Montana rates for HCPCS E1170

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

Insurance Carrier
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$766.64 / $766.64 / $766.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.66 / $766.64 / $1,125.35
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.89 / $341.60 / $903.74
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.66 / $766.64 / $1,125.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$419.69 / $525.10 / $875.17