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Montana rates for HCPCS E2369

Power wheelchair component, drive wheel gear box, replacement only

Insurance Carrier
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$332.93 / $332.93 / $332.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.75 / $332.93 / $472.44
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.20 / $305.95 / $755.90
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.75 / $332.93 / $472.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$228.23 / $228.23 / $267.02