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Montana rates for HCPCS E2385

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

Insurance Carrier
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.11 / $35.11 / $58.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.11 / $51.10 / $58.74
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.71 / $58.60 / $81.76
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.11 / $51.10 / $58.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.51 / $26.84 / $30.96