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Montana rates for HCPCS E2224

Manual wheelchair accessory, propulsion wheel excludes tire, any size, replacement only, each

Facilitymedian $105 · 10th–90th $46–$1350%20%10th90th$105Professionalmedian $85 · 10th–90th $13–$1350%10%20%10th90th$85$5.0$10.0$20.0$50.0$100.0$200.0$500.0

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
$85.11 / $85.11 / $489.78
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.88 / $12.88 / $12.88
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$72.44 / $134.90 / $134.90
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$72.44 / $134.90 / $134.90
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$85.11 / $104.71 / $134.90
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$85.11 / $104.71 / $134.90
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$38.90 / $134.90 / $165.96
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$79.43 / $93.33 / $134.90
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.79 / $45.71 / $77.62
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$51.29 / $51.29 / $87.10