go back

Montana rates for HCPCS E2328

Power wheelchair accessory, head control or extremity control interface, electronic, proportional, including all related electronics and fixed mounting hardware

Insurance Carrier
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,642.21 / $1,642.21 / $1,642.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$470.42 / $1,642.21 / $5,203.09
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,642.21 / $4,212.02 / $8,324.94
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$470.42 / $1,642.21 / $5,203.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,653.58 / $2,938.92 / $4,898.20