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Vermont rates for HCPCS E1011

Modification To Pediatric Size Wheelchair Width Adjustment Package (Not To Be Dispensed With Initial Chair)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$574.00 / $574.00 / $574.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$424.00 / $424.00 / $424.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$360.40 / $424.00 / $436.72
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$424.00 / $424.00 / $424.00
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$424.00 / $424.00 / $436.72