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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
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.34 / $4.34 / $4.34
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.09 / $27.09 / $47.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.09 / $33.71 / $47.12
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.09 / $35.90 / $53.94
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.09 / $33.71 / $47.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.50 / $19.34 / $32.24