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Montana rates for HCPCS K0005

Ultralightweight wheelchair

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,442.05 / $2,442.05 / $2,442.05
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$248.04 / $248.04 / $248.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,460.50 / $1,460.50 / $2,666.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,460.50 / $1,908.73 / $2,666.86
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,257.16 / $2,080.80 / $3,053.97
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,460.50 / $1,908.73 / $2,666.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$990.01 / $1,095.38 / $1,825.63