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Montana rates for HCPCS E2385

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

Facilitymedian $45 · 10th–90th $23–$650%10%20%10th90th$45Professionalmedian $45 · 10th–90th $28–$1070%20%10th90th$45$5.0$10.0$20.0$50.0$100.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.90 / $38.90 / $120.23
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$35.48 / $58.88 / $58.88
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$35.48 / $58.88 / $58.88
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$36.31 / $44.67 / $64.57
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$36.31 / $44.67 / $64.57
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.50 / $58.88 / $81.28
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$41.69 / $58.88 / $79.43
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.34 / $23.44 / $40.74
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.30 / $26.92 / $44.67