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Vermont rates for HCPCS E0953

Wheelchair Accessory Lateral Thigh Or Knee Support Any Type Including Fixed Mounting Hardware Each (Reinstated Code) Old Description: Pneumatic Tire Each (Not Valid For Medicare) (Deleted 12/31/05)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.98 / $60.24 / $65.34
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.23 / $64.23 / $79.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.60 / $54.60 / $54.60
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.23 / $64.23 / $79.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.58 / $65.02 / $95.62