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Montana rates for HCPCS E1171

Amputee wheelchair, fixed full-length arms, without footrests or legrest

Insurance Carrier
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$687.90 / $687.90 / $687.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.87 / $687.90 / $1,009.92
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.19 / $306.58 / $811.37
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.87 / $687.90 / $1,009.92
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$376.77 / $471.40 / $785.67