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Vermont rates for HCPCS E0958

Manual wheelchair accessory, one-arm drive attachment, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$171.91 / $217.84 / $291.75
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$235.00 / $238.50 / $238.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$202.73 / $238.50 / $245.66
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$235.00 / $238.50 / $238.50
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$235.00 / $238.50 / $245.66
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.18 / $170.10 / $226.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.52 / $286.30 / $339.08