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Vermont rates for HCPCS E1222

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$382.93 / $533.33 / $533.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$659.87 / $659.87 / $659.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$267.74 / $446.51 / $669.36