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Montana rates for HCPCS K0056

Seat height less than 17 in or equal to or greater than 21 in for a high-strength, lightweight, or ultralightweight wheelchair

Facilitymedian $100 · 10th–90th $50–$1410%10%20%10th90th$100Professionalmedian $85 · 10th–90th $55–$1410%20%10th90th$85$10.0$20.0$50.0$100.0

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
$12.02 / $83.18 / $194.98
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$74.13 / $131.83 / $131.83
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$74.13 / $131.83 / $131.83
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$79.43 / $100.00 / $141.25
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$79.43 / $100.00 / $141.25
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$36.31 / $131.83 / $158.49
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$79.43 / $93.33 / $131.83
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.01 / $48.98 / $81.28
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$51.29 / $54.95 / $85.11