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Montana rates for HCPCS E2391

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

Facilitymedian $19 · 10th–90th $9–$260%20%10th90th$19Professionalmedian $19 · 10th–90th $12–$620%10%20%10th90th$19$1.0$2.0$5.0$10.0$20.0$50.0

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
$15.14 / $15.14 / $61.66
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13.80 / $25.12 / $25.12
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.80 / $25.12 / $25.12
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.14 / $19.05 / $25.70
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $19.05 / $25.70
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.13 / $25.12 / $34.67
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.22 / $25.12 / $79.43
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.02 / $9.12 / $15.14
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.47 / $10.47 / $17.38