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Montana rates for HCPCS E2211

Manual Wheelchair Accessory Pneumatic Propulsion Tire Any Size Each

Insurance Carrier
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.88 / $4.88 / $4.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.34 / $28.34 / $52.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.34 / $52.85 / $52.85
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.34 / $45.14 / $67.81
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.34 / $52.85 / $52.85
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.26 / $20.26 / $33.76