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Montana rates for HCPCS E1250

Lightweight wheelchair, fixed full-length arms, swing-away detachable footrest

Facilitymedian $282 · 10th–90th $46–$6760%10%10th90th$282Professionalmedian $631 · 10th–90th $107–$1,1750%20%10th90th$631$50.0$100.0$200.0$500.0$1.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$107.15 / $630.96 / $1,445.44
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$199.53 / $199.53 / $199.53
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$199.53 / $1,047.13 / $1,047.13
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$199.53 / $281.84 / $870.96
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$79.43 / $912.01 / $1,174.90
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$32.36 / $354.81 / $676.08
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$407.38 / $426.58 / $660.69