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Montana rates for HCPCS K0816

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

Insurance Carrier
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,254.90 / $2,254.90 / $2,254.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$267.70 / $2,254.90 / $4,040.88
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$228.98 / $333.08 / $4,876.00
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$267.70 / $2,254.90 / $4,040.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,285.80 / $1,285.80 / $2,143.00