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Montana rates for HCPCS E2381

Power wheelchair accessory, pneumatic drive wheel tire, any size, replacement only, each

Insurance Carrier
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.88 / $8.88 / $8.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.02 / $48.02 / $89.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.02 / $78.65 / $89.01
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.32 / $89.01 / $125.84
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.02 / $78.65 / $89.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.02 / $36.02 / $60.04