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Vermont rates for HCPCS E1170

Amputee Wheelchair Fixed Full Length Arms Swing Away Detachable Elevating Legrests (Special Coverage Instructions Apply. See Cim: 60-9)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.66 / $702.68 / $702.68
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$766.64 / $766.64 / $766.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$651.64 / $651.64 / $651.64
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$766.64 / $766.64 / $766.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$352.87 / $588.37 / $882.17