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Montana rates for HCPCS E2368

Power wheelchair component, drive wheel motor, replacement only

Insurance Carrier
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$327.62 / $327.62 / $327.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.27 / $327.62 / $542.40
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$62.20 / $327.62 / $867.84
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.27 / $327.62 / $542.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.29 / $227.15 / $378.58