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Vermont rates for HCPCS E1015

Reclining Back, Addi To Pediatr Size Wheelchair

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.38 / $90.24 / $90.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93.52 / $93.52 / $122.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.48 / $93.52 / $122.74
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93.52 / $93.52 / $122.74
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.52 / $93.52 / $122.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.05 / $97.50 / $130.18