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Montana rates for HCPCS E2383

Power Wheelchair Accessory Insert For Pneumatic Drive Wheel Tire (Removable) Any Type Any Size Replacement Only Each

Insurance Carrier
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.13 / $18.13 / $18.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.30 / $100.30 / $181.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.30 / $156.81 / $181.83
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58.10 / $179.83 / $250.90
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.30 / $156.81 / $181.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.65 / $75.65 / $126.08