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Vermont rates for HCPCS E1230

Power Operated Vehicle (Three Or Four Wheel Nonhighway) Specify Brand Name And Model Number (Special Coverage Instructions Apply. See Cim: 60-5 And Mcm: 4107.6)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,328.61 / $1,779.38 / $1,779.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,786.79 / $1,786.79 / $1,786.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,518.77 / $1,786.79 / $1,840.39
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,786.79 / $1,786.79 / $1,786.79
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,786.79 / $1,786.79 / $1,840.39
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,051.05 / $1,700.30 / $2,627.63