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Vermont rates for HCPCS E1084

Hemi-Wheelchair Detachable Arms Desk Or Full Length Arms Swing Away Detachable Elevating Leg Rests (Special Coverage Instructions Apply. See Cim: 60-9)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$535.58 / $749.93 / $749.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$359.59 / $359.59 / $359.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$305.64 / $305.64 / $305.64
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$359.59 / $359.59 / $359.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.19 / $646.17 / $969.12