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Vermont rates for HCPCS E1200

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.80 / $611.54 / $611.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$746.73 / $746.73 / $746.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$634.72 / $746.73 / $746.73
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$746.73 / $746.73 / $746.73
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$746.73 / $746.73 / $746.73
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$343.85 / $573.05 / $859.62