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Montana rates for HCPCS E2388

Power wheelchair accessory, foam drive wheel tire, any size, replacement only, each

Insurance Carrier
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.90 / $37.90 / $62.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.90 / $52.91 / $62.28
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.05 / $60.66 / $84.66
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.90 / $52.91 / $62.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.98 / $28.82 / $48.03