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Montana rates for HCPCS E2214

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

Facilitymedian $39 · 10th–90th $21–$490%20%10th90th$39Professionalmedian $30 · 10th–90th $5–$490%10%20%10th90th$30$2.0$5.0$10.0$20.0$50.0$100.0

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
$30.20 / $30.20 / $120.23
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.79 / $4.79 / $4.79
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$25.70 / $48.98 / $48.98
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.70 / $48.98 / $48.98
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$30.90 / $38.90 / $47.86
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.90 / $38.90 / $47.86
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$25.70 / $48.98 / $60.26
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.84 / $48.98 / $79.43
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.78 / $16.60 / $28.18
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.05 / $19.05 / $31.62