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Montana rates for HCPCS E2215

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

Facilitymedian $10 · 10th–90th $5$150%10%20%10th90th$10Professionalmedian $10 · 10th–90th $6$340%20%10th90th$10$1.0$2.0$5.0$10.0$20.0$50.0

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
$8.91 / $8.91 / $33.88
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.94 / $13.80 / $13.80
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.94 / $13.80 / $13.80
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.13 / $10.23 / $14.79
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.13 / $10.23 / $14.79
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.24 / $13.49 / $15.85
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.33 / $13.80 / $79.43
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.52 / $5.13 / $8.71
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.13 / $5.89 / $8.51