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Montana rates for HCPCS E2205

Manual wheelchair accessory, handrim without projections (includes ergonomic or contoured), any type, replacement only, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.11 / $33.11 / $131.83
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.37 / $4.37 / $4.37
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.92 / $26.92 / $46.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.92 / $33.11 / $46.77
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.54 / $34.67 / $48.98
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.54 / $34.67 / $48.98
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.92 / $36.31 / $53.70
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $46.77 / $79.43
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.78 / $16.98 / $28.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.38 / $19.50 / $22.39