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Vermont rates for HCPCS E1234

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$759.95 / $1,133.08 / $1,517.53
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,208.78 / $1,208.78 / $1,208.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,027.46 / $1,208.78 / $1,245.04
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,208.78 / $1,208.78 / $1,208.78
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,208.78 / $1,208.78 / $1,245.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$762.20 / $1,450.22 / $2,025.40