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Vermont rates for HCPCS E1171

Amputee wheelchair, fixed full-length arms, without footrests or legrest

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.74 / $630.96 / $1,023.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$691.83 / $691.83 / $691.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.84 / $691.83 / $691.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.95 / $416.87 / $630.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.23 / $467.74 / $794.33