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Montana rates for HCPCS E2388

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

Facilitymedian $47 · 10th–90th $25–$710%20%10th90th$47Professionalmedian $47 · 10th–90th $30–$930%10%10th90th$47$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
$41.69 / $41.69 / $131.83
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$38.02 / $61.66 / $61.66
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.02 / $61.66 / $61.66
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$37.15 / $46.77 / $70.79
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$37.15 / $46.77 / $70.79
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.95 / $61.66 / $85.11
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$44.67 / $61.66 / $79.43
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.51 / $25.12 / $44.67
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.92 / $28.84 / $44.67