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Montana rates for HCPCS E2632

Wheelchair accessory, addition to mobile arm support, offset or lateral rocker arm with elastic balance control

Facilitymedian $155 · 10th–90th $83$2450%20%10th90th$155Professionalmedian $155 · 10th–90th $83$3470%20%10th90th$155$10.0$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
$141.25 / $141.25 / $575.44
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$83.18 / $208.93 / $208.93
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$83.18 / $208.93 / $208.93
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$123.03 / $154.88 / $245.47
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$123.03 / $154.88 / $245.47
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$83.18 / $204.17 / $208.93
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$79.43 / $158.49 / $208.93
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.94 / $79.43 / $151.36
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$91.20 / $97.72 / $154.88