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Montana rates for HCPCS K0011

Standard-weight frame motorized/power wheelchair with programmable control parameters for speed adjustment, tremor dampening, acceleration control and braking

Insurance Carrier
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,106.14 / $5,106.14 / $5,106.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$560.27 / $5,106.14 / $6,681.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$592.66 / $890.80 / $5,106.14
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$560.27 / $5,106.14 / $6,681.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,091.96 / $2,091.96 / $3,486.60