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Montana rates for HCPCS E2221

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

Facilitymedian $27 · 10th–90th $17–$380%10%20%10th90th$27Professionalmedian $23 · 10th–90th $3–$380%10%20%10th90th$23$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
$22.91 / $22.91 / $79.43
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.39 / $3.39 / $3.39
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$20.89 / $36.31 / $36.31
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.89 / $36.31 / $36.31
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$21.38 / $26.92 / $38.02
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.38 / $26.92 / $38.02
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$20.89 / $35.48 / $42.66
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$24.55 / $36.31 / $79.43
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.38 / $13.49 / $22.91
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.80 / $15.14 / $22.91