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Montana rates for HCPCS E1222

Wheelchair with fixed arm, elevating legrests

Insurance Carrier
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.00 / $65.00 / $726.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.30 / $80.48 / $686.24
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.00 / $65.00 / $726.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$318.58 / $398.43 / $664.05