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Montana rates for HCPCS E2619

Replacement cover for wheelchair seat cushion or back cushion, each

Insurance Carrier
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.35 / $6.35 / $6.35
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.06 / $39.06 / $63.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.06 / $53.89 / $63.77
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.06 / $52.02 / $86.22
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.06 / $53.89 / $63.77
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.49 / $29.59 / $49.31