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Montana rates for HCPCS E1230

Power operated vehicle (three- or four-wheel nonhighway), specify brand name and model number

Insurance Carrier
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,786.79 / $1,786.79 / $2,820.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,786.79 / $2,273.92 / $2,820.47
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$865.13 / $1,786.79 / $3,229.84
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,786.79 / $2,273.92 / $2,820.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,211.19 / $1,340.09 / $2,233.48