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Vermont rates for HCPCS E1221

Wheelchair With Fixed Arm Footrests (Special Coverage Instructions Apply. See Cim: 60-6)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$268.86 / $373.80 / $373.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$407.81 / $407.81 / $407.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.64 / $407.81 / $407.81
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$407.81 / $407.81 / $407.81
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.81 / $407.81 / $407.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$187.71 / $312.77 / $469.28