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Vermont rates for HCPCS E1093

Wide Heavy Duty Wheelchair Detachable Arms Desk Or Full Length Arms Swing Away Detachable Footrests (Special Coverage Instructions Apply. See Cim: 60-9)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$551.82 / $739.05 / $739.05
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$707.88 / $707.88 / $707.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$601.70 / $707.88 / $729.12
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$707.88 / $707.88 / $707.88
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.88 / $707.88 / $729.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.14 / $649.83 / $1,091.71