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Montana rates for HCPCS K0195

Elevating legrests, pair (for use with capped rental wheelchair base)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.59 / $80.59 / $80.59
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.59 / $20.59 / $20.59
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$88.70 / $88.70 / $88.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.41 / $88.70 / $255.84
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.54 / $34.11 / $88.70
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.41 / $88.70 / $255.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.12 / $7.12 / $125.06