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Montana rates for HCPCS E2629

Wheelchair accessory, shoulder elbow, mobile arm support attached to wheelchair, balanced, friction arm support (friction dampening to proximal and distal joints)

Insurance Carrier
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$394.97 / $394.97 / $1,240.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$394.97 / $1,240.74 / $1,240.74
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$394.97 / $945.34 / $1,240.74
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$394.97 / $1,240.74 / $1,240.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$517.60 / $548.04 / $913.40