go back

Montana rates for HCPCS E1200

Amputee wheelchair, fixed full-length arms, swing-away detachable footrest

Facilitymedian $407 · 10th–90th $60$8130%10%10th90th$407Professionalmedian $851 · 10th–90th $79$1,5140%20%10th90th$851$50.0$100.0$200.0$500.0$1.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$323.59 / $891.25 / $1,659.59
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$741.31 / $741.31 / $741.31
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$85.11 / $741.31 / $1,096.48
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$74.13 / $331.13 / $870.96
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$79.43 / $741.31 / $1,348.96
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$40.74 / $407.38 / $812.83
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$407.38 / $512.86 / $630.96