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Montana rates for HCPCS E2202

Manual wheelchair accessory, nonstandard seat frame width, 24-27 in

Insurance Carrier
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.71 / $60.71 / $60.71
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$353.55 / $353.55 / $654.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$353.55 / $497.68 / $654.54
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$353.55 / $529.78 / $796.29
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$353.55 / $497.68 / $654.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$253.82 / $255.25 / $296.48