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Vermont rates for HCPCS E1172

Amputee wheelchair, detachable arms (desk or full-length) without footrests or legrest

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