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Vermont rates for HCPCS E1190

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$598.64 / $838.13 / $838.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,140.20 / $1,140.20 / $1,140.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$462.59 / $771.16 / $1,156.47