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Vermont rates for HCPCS E0995

Wheelchair Accessory Calf Rest/Pad Replacement Only Each. (Desc Revised 01/01/2017)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.97 / $13.08 / $17.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.85 / $21.85 / $28.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.57 / $21.85 / $28.68
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.85 / $21.85 / $28.68
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.85 / $21.85 / $28.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.35 / $21.31 / $27.13