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Vermont rates for HCPCS E1233

Wheelchair Pediatric Size Tilt-N-Space Rigid Adjustable Without Seating System

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,301.55 / $1,743.14 / $1,743.14
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,504.53 / $2,504.53 / $2,504.53
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,406.76 / $1,406.76 / $1,406.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,195.75 / $1,406.76 / $1,448.96
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,406.76 / $1,406.76 / $1,406.76
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,406.76 / $1,406.76 / $1,448.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$875.55 / $1,665.62 / $2,326.52