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Montana rates for HCPCS E2225

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

Insurance Carrier
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.37 / $2.37 / $2.37
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.58 / $14.58 / $25.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.58 / $18.27 / $25.54
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.93 / $19.44 / $29.23
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.58 / $18.27 / $25.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.32 / $10.78 / $12.43