go back

Montana rates for HCPCS E1223

Wheelchair with detachable arms, footrests

Insurance Carrier
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$422.72 / $422.72 / $422.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.20 / $422.72 / $888.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$59.08 / $283.14 / $749.29
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.20 / $422.72 / $888.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$347.78 / $435.24 / $725.40