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Vermont rates for HCPCS E1180

Amputee Wheelchair Detachable Arms (Desk Or Full Length) Swing Away Detachable Footrests (Special Coverage Instructions Apply. See Cim: 60-9)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$595.28 / $797.25 / $797.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$344.45 / $344.45 / $344.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$292.77 / $344.45 / $354.78
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$344.45 / $344.45 / $344.45
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$344.45 / $344.45 / $354.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$400.45 / $667.43 / $1,001.13