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Montana rates for HCPCS E2394

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

Insurance Carrier
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.86 / $8.86 / $8.86
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.18 / $46.18 / $88.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.18 / $80.59 / $88.34
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.55 / $88.34 / $128.94
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.18 / $80.59 / $88.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.90 / $35.90 / $59.85