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Vermont rates for HCPCS E1100

Semi-Reclining 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
$571.37 / $799.73 / $799.73
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$999.36 / $999.36 / $999.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$849.46 / $999.36 / $1,029.33
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$999.36 / $999.36 / $999.36
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$999.36 / $999.36 / $1,029.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$410.20 / $806.54 / $1,025.50