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Montana rates for HCPCS E2378

Power wheelchair component, actuator, replacement only

Insurance Carrier
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.54 / $69.54 / $69.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$450.88 / $450.88 / $450.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.68 / $450.88 / $464.41
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.43 / $71.51 / $450.88
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.68 / $450.88 / $464.41
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.17 / $211.28 / $286.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$282.52 / $327.66 / $546.10