go back

Montana rates for HCPCS E1295

Heavy-duty wheelchair, fixed full-length arms, elevating legrest

Insurance Carrier
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,042.44 / $1,042.44 / $1,042.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119.94 / $1,042.44 / $1,530.48
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$101.82 / $464.63 / $1,229.27
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119.94 / $1,042.44 / $1,530.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$570.79 / $714.14 / $1,190.24