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Montana rates for HCPCS K0891

Power wheelchair, group 5 pediatric, multiple power option, sling/solid seat/back, patient weight capacity up to and including 125 pounds

Insurance Carrier
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,619.91 / $11,619.91 / $11,619.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11,619.91 / $11,619.91 / $11,619.91
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,619.91 / $11,619.91 / $11,619.91
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11,619.91 / $11,619.91 / $11,619.91