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Montana rates for HCPCS E2203

Manual wheelchair accessory, nonstandard seat frame depth, 20 to less than 22 in

Facilitymedian $513 · 10th–90th $240–$6460%10%20%10th90th$513Professionalmedian $389 · 10th–90th $59–$6460%10%20%10th90th$389$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. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$389.05 / $389.05 / $1,513.56
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$58.88 / $58.88 / $58.88
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$331.13 / $645.65 / $645.65
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$331.13 / $645.65 / $645.65
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$407.38 / $512.86 / $602.56
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$407.38 / $512.86 / $602.56
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$331.13 / $645.65 / $812.83
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$79.43 / $426.58 / $645.65
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$23.99 / $223.87 / $354.81
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$251.19 / $251.19 / $426.58