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Montana rates for HCPCS E2395

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

Facilitymedian $50 · 10th–90th $22–$650%20%10th90th$50Professionalmedian $41 · 10th–90th $6–$790%10%20%10th90th$41$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
$39.81 / $39.81 / $112.20
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.46 / $6.46 / $6.46
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$34.67 / $64.57 / $64.57
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$34.67 / $64.57 / $64.57
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$40.74 / $50.12 / $64.57
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$40.74 / $50.12 / $64.57
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$21.88 / $64.57 / $91.20
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$40.74 / $64.57 / $79.43
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.63 / $22.39 / $36.31
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.70 / $25.70 / $42.66