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Montana rates for HCPCS K0814

Power wheelchair, group 1 standard, portable, captain's chair, patient weight capacity up to and including 300 pounds

Insurance Carrier
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,416.31 / $2,416.31 / $2,416.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.99 / $2,416.31 / $3,705.36
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$209.97 / $333.02 / $4,471.20
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.99 / $2,416.31 / $3,705.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,228.59 / $1,228.59 / $1,579.55