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Montana rates for HCPCS E2215

Manual Wheelchair Accessory Tube For Pneumatic Ca Ster Tire Any Size Each

Insurance Carrier
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.00 / $8.00 / $13.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.00 / $9.92 / $13.85
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.22 / $10.55 / $15.87
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.00 / $9.92 / $13.85
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.14 / $5.84 / $6.74