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Montana rates for HCPCS E2631

Wheelchair accessory, addition to mobile arm support, elevating proximal arm

Facilitymedian $240 · 10th–90th $135$3800%20%10th90th$240Professionalmedian $245 · 10th–90th $148$4270%20%10th90th$245$20.0$50.0$100.0$200.0$500.0

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
$223.87 / $223.87 / $660.69
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$245.47 / $331.13 / $331.13
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$245.47 / $331.13 / $331.13
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$194.98 / $239.88 / $380.19
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$194.98 / $239.88 / $380.19
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$223.87 / $323.59 / $331.13
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$79.43 / $245.47 / $331.13
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.30 / $123.03 / $234.42
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$144.54 / $151.36 / $239.88