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Montana rates for HCPCS E1221

Wheelchair with fixed arm, footrests

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.81 / $524.81 / $707.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$407.38 / $407.38 / $407.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.77 / $407.38 / $602.56
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.74 / $181.97 / $478.63
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $407.38 / $741.31
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.39 / $223.87 / $446.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.87 / $281.84 / $281.84