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Vermont rates for HCPCS E1171

Amputee Wheelchair Fixed Full Length Arms Without Footrests Or Legrest (Special Coverage Instructions Apply. See Cim: 60-9)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$470.85 / $630.60 / $630.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$687.90 / $687.90 / $687.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$584.72 / $687.90 / $687.90
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$687.90 / $687.90 / $687.90
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$687.90 / $687.90 / $687.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.77 / $622.91 / $791.96