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Montana rates for HCPCS E1224

Wheelchair with detachable arms, elevating legrests

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$851.14 / $891.25 / $891.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$426.58 / $426.58 / $426.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.62 / $426.58 / $1,000.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.18 / $309.03 / $812.83
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $426.58 / $1,258.93
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.02 / $380.19 / $758.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.19 / $478.63 / $478.63