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Vermont rates for HCPCS E1110

Semi-Reclining Wheelchair Detachable Arms (Desk Or Full Length) Elevating Leg Rest (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
$463.28 / $764.21 / $1,004.04