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Montana rates for HCPCS E1190

Amputee wheelchair, detachable arms (desk or full-length) swing-away detachable elevating legrests

Insurance Carrier
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.61 / $115.61 / $1,475.04
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$98.14 / $163.57 / $1,184.79
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.61 / $115.61 / $1,475.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$550.22 / $688.37 / $1,147.29