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Montana rates for HCPCS E2219

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

Facilitymedian $45 · 10th–90th $26–$590%20%10th90th$45Professionalmedian $36 · 10th–90th $6–$590%10%20%10th90th$36$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
$36.31 / $36.31 / $144.54
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.75 / $5.75 / $5.75
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$31.62 / $58.88 / $58.88
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$31.62 / $58.88 / $58.88
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$36.31 / $44.67 / $57.54
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$36.31 / $44.67 / $57.54
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$31.62 / $58.88 / $70.79
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$37.15 / $58.88 / $79.43
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.19 / $19.50 / $34.67
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.39 / $22.91 / $37.15