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Montana rates for HCPCS E2377

Power wheelchair accessory, expandable controller, including all related electronics and mounting hardware, upgrade provided at initial issue

Insurance Carrier
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.90 / $59.90 / $59.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$279.36 / $279.36 / $279.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.04 / $279.36 / $510.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$279.36 / $519.67 / $816.00
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.04 / $279.36 / $510.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$260.10 / $278.39 / $464.00