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Montana rates for HCPCS E2212

Manual wheelchair accessory, tube for pneumatic propulsion tire, any size, each

Insurance Carrier
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.82 / $0.82 / $0.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.84 / $4.84 / $8.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.84 / $6.07 / $8.47
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.84 / $6.44 / $9.71
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.84 / $6.07 / $8.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.14 / $3.51 / $5.85