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Montana rates for HCPCS E1237

Wheelchair, pediatric size, rigid, adjustable, without seating system

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,819.70 / $1,819.70 / $7,585.78
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.87 / $223.87 / $223.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,071.52 / $1,071.52 / $1,071.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.18 / $1,071.52 / $1,737.80
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$234.42 / $1,122.02 / $2,754.23
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $1,071.52 / $2,570.40
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.62 / $776.25 / $1,548.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.25 / $977.24 / $977.24