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Montana rates for HCPCS E2621

Positioning wheelchair back cushion, planar back with lateral supports, width 22 in or greater, any height, including any type mounting hardware

Facilitymedian $537 · 10th–90th $275$6760%20%10th90th$537Professionalmedian $437 · 10th–90th $275$6760%20%10th90th$437$50.0$100.0$200.0$500.0$1.0K

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
$407.38 / $407.38 / $1,096.48
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$354.81 / $676.08 / $676.08
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$354.81 / $676.08 / $676.08
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$426.58 / $537.03 / $630.96
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$426.58 / $537.03 / $630.96
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$239.88 / $676.08 / $954.99
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$79.43 / $446.68 / $676.08
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$27.54 / $239.88 / $389.05
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$275.42 / $275.42 / $457.09