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Vermont rates for HCPCS E1087

High Strength Lightweight Wheelchair Fixed 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
$631.67 / $846.00 / $846.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,232.30 / $1,232.30 / $1,232.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$499.98 / $833.34 / $1,249.96