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Montana rates for HCPCS K0842

Power wheelchair, group 2 standard, multiple power option, captain's chair, patient weight capacity up to and including 300 pounds

Insurance Carrier
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$619.91 / $619.91 / $619.91
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,621.85 / $3,621.85 / $3,621.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$386.96 / $3,621.85 / $5,182.32
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,625.86 / $3,282.33 / $6,253.28
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$386.96 / $3,621.85 / $5,182.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,852.20 / $1,852.20 / $3,087.00