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Montana rates for HCPCS E2633

Wheelchair accessory, addition to mobile arm support, supinator

Facilitymedian $129 · 10th–90th $71$2090%20%10th90th$129Professionalmedian $129 · 10th–90th $79$2880%10%10th90th$129$10.0$20.0$50.0$100.0$200.0

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
$117.49 / $117.49 / $371.54
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$70.79 / $177.83 / $177.83
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$70.79 / $177.83 / $177.83
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$104.71 / $128.82 / $208.93
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$104.71 / $128.82 / $208.93
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$70.79 / $173.78 / $177.83
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$79.43 / $134.90 / $177.83
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.76 / $67.61 / $123.03
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$77.62 / $81.28 / $128.82