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Montana rates for HCPCS E2206

Manual Wheelchair Accessory Wheel Lock Assembly Complete Replacement Only Each. (Desc Revised 01/01/2017)

Insurance Carrier
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.13 / $5.13 / $5.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.99 / $29.99 / $55.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.99 / $42.01 / $55.39
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.99 / $44.72 / $67.22
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.99 / $42.01 / $55.39
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.10 / $15.75 / $26.37
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.78 / $22.60 / $37.67