go back

Montana rates for HCPCS E2391

Power wheelchair accessory, solid (rubber/plastic) caster tire (removable), any size, replacement only, each

Insurance Carrier
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.81 / $13.81 / $25.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.81 / $21.53 / $25.02
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.16 / $24.68 / $34.45
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.81 / $21.53 / $25.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.44 / $10.44 / $17.39