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Montana rates for HCPCS E2214

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $107.15
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.79 / $4.79 / $4.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.70 / $25.70 / $48.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.70 / $33.11 / $48.98
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.90 / $38.90 / $47.86
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.90 / $38.90 / $47.86
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.70 / $40.74 / $60.26
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.84 / $48.98 / $79.43
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.78 / $16.60 / $28.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.05 / $19.05 / $21.88