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Montana rates for HCPCS E2220

Manual wheelchair accessory, solid (rubber/plastic) propulsion tire, any size, replacement only, each

Facilitymedian $26 · 10th–90th $19–$420%20%10th90th$26Professionalmedian $25 · 10th–90th $3–$420%20%10th90th$25$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
$25.12 / $25.12 / $165.96
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.24 / $3.24 / $3.24
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$22.91 / $35.48 / $35.48
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.91 / $35.48 / $35.48
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$20.89 / $26.30 / $41.69
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.89 / $26.30 / $41.69
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$20.42 / $34.67 / $40.74
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.70 / $35.48 / $79.43
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.29 / $13.49 / $24.55
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $16.22 / $25.70