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Montana rates for HCPCS K0815

Power wheelchair, group 1 standard, sling/solid seat and back, patient weight capacity up to and including 300 pounds

Insurance Carrier
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,671.66 / $2,671.66 / $2,671.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$286.64 / $2,671.66 / $4,219.56
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$239.11 / $344.45 / $5,091.68
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$286.64 / $2,671.66 / $4,219.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,361.32 / $1,361.32 / $2,268.87