go back

Montana rates for HCPCS E2213

Manual wheelchair accessory, insert for pneumatic propulsion tire (removable), any type, any size, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.18 / $28.18 / $63.10
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.98 / $3.98 / $3.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.44 / $23.44 / $42.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.44 / $27.54 / $42.66
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.70 / $32.36 / $42.66
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.70 / $32.36 / $42.66
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.44 / $33.88 / $50.12
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.54 / $42.66 / $79.43
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.62 / $15.14 / $25.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.22 / $17.38 / $19.95