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Montana rates for HCPCS E2212

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

Facilitymedian $6 · 10th–90th $4–$90%10%20%10th90th$6Professionalmedian $5 · 10th–90th $1–$90%10%20%10th90th$5$0.5$1.0$2.0$5.0$10.0$20.0$50.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.01 / $5.01 / $30.90
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.81 / $0.81 / $0.81
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.79 / $8.51 / $8.51
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.79 / $8.51 / $8.51
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.01 / $6.17 / $8.91
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.01 / $6.17 / $8.91
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.79 / $8.13 / $9.77
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.75 / $8.51 / $79.43
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.34 / $3.09 / $5.25
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.16 / $3.55 / $5.25