go back

Montana rates for HCPCS K0004

High Strength Lightweight Wheelchair

Insurance Carrier
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$118.56 / $118.56 / $118.56
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$654.75 / $654.75 / $654.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.35 / $654.75 / $1,683.84
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.90 / $654.75 / $1,129.86
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.35 / $654.75 / $1,683.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$373.51 / $397.78 / $662.97