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Vermont rates for HCPCS E1228

Special Back Height For Wheelchair (Special Coverage Instructions Apply. See Cim: 60-6)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.58 / $220.43 / $220.43
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$240.50 / $240.50 / $240.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.43 / $240.50 / $240.50
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$240.50 / $240.50 / $240.50
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$240.50 / $240.50 / $240.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.74 / $210.53 / $276.83