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Montana rates for HCPCS E2214

Manual wheelchair accessory, pneumatic caster tire, any size, each

Insurance Carrier
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.76 / $4.76 / $4.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.90 / $25.90 / $48.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.90 / $37.79 / $48.74
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.90 / $40.22 / $60.48
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.90 / $37.79 / $48.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.93 / $18.93 / $31.55