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Montana rates for HCPCS E1172

Amputee wheelchair, detachable arms (desk or full-length) without footrests or legrest

Insurance Carrier
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$840.94 / $840.94 / $840.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.75 / $840.94 / $1,234.20
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$82.14 / $374.67 / $991.23
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.75 / $840.94 / $1,234.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$460.40 / $575.99 / $959.98