go back

Vermont rates for HCPCS E1172

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$571.37 / $770.63 / $770.63
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$840.94 / $840.94 / $840.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$714.80 / $840.94 / $840.94
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$840.94 / $840.94 / $840.94
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$840.94 / $840.94 / $840.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$387.06 / $736.42 / $967.66