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Montana rates for HCPCS E1240

Lightweight wheelchair, detachable arms, (desk or full-length) swing-away detachable, elevating legrest

Insurance Carrier
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$200.00 / $200.00 / $200.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.81 / $200.00 / $1,103.28
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$73.42 / $200.00 / $1,042.56
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.81 / $200.00 / $1,103.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$484.07 / $605.87 / $1,009.79