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Montana rates for HCPCS E1200

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

Insurance Carrier
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$746.73 / $746.73 / $746.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.92 / $746.73 / $1,096.32
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$72.94 / $332.82 / $880.77
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.92 / $746.73 / $1,096.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$408.85 / $511.68 / $852.80