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Montana rates for HCPCS E2384

Power wheelchair accessory, pneumatic caster tire, any size, replacement only, each

Insurance Carrier
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.69 / $48.69 / $92.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.69 / $83.55 / $92.33
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.20 / $92.33 / $133.68
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.69 / $83.55 / $92.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.77 / $36.77 / $61.28