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Vermont rates for HCPCS E1223

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$425.15 / $582.29 / $582.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$422.72 / $422.72 / $422.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$359.31 / $359.31 / $359.31
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$422.72 / $422.72 / $422.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$292.48 / $487.44 / $731.20