go back

Montana rates for HCPCS K0195

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

Facilitymedian $66 · 10th–90th $8$910%20%10th90th$66Professionalmedian $81 · 10th–90th $10$1170%20%10th90th$81$5.0$10.0$20.0$50.0$100.0$200.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.12 / $117.49 / $131.83
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.42 / $20.42 / $20.42
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$89.13 / $89.13 / $89.13
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.47 / $89.13 / $257.04
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.95 / $33.88 / $89.13
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.47 / $79.43 / $91.20
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.76 / $9.12 / $95.50
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.08 / $7.08 / $125.89