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Montana rates for HCPCS K0012

Lightweight portable motorized/power wheelchair

Insurance Carrier
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,225.05 / $2,225.05 / $2,225.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$343.68 / $2,225.05 / $3,691.56
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$245.62 / $1,242.81 / $2,452.17
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$343.68 / $2,225.05 / $3,691.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,186.64 / $1,433.05 / $2,388.41