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Montana rates for HCPCS E2382

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

Insurance Carrier
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.57 / $14.57 / $24.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.57 / $21.43 / $24.55
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.26 / $24.55 / $34.29
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.57 / $21.43 / $24.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.12 / $11.20 / $12.92