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Vermont rates for HCPCS E0967

Manual Wheelchair Accessory Hand Rim With Projections Any Type Replacement Only Each (Desc Revised 1/1/2017)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.57 / $51.68 / $51.68
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.33 / $44.33 / $44.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.68 / $37.68 / $37.68
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.33 / $44.33 / $44.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.30 / $55.84 / $76.30