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Montana rates for HCPCS K0098

Drive Belt For Power Wheelchair Replacement Only (Desc Rvsd 1/1/17)

Insurance Carrier
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.13 / $20.13 / $32.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.13 / $32.82 / $32.82
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.13 / $26.01 / $43.62
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.13 / $32.82 / $32.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.57 / $13.57 / $16.14