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Vermont rates for HCPCS E1030

Wheelchair Accessory Ventilator Tray Gimbaled

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$589.97 / $790.14 / $790.14
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$606.51 / $606.51 / $606.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$515.53 / $606.51 / $624.71
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$606.51 / $606.51 / $606.51
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$606.51 / $606.51 / $624.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$465.20 / $948.40 / $1,223.53