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Vermont rates for HCPCS E1240

Lightweight Wheelchair Detachable Arms (Desk Or Full Length) Swing Away Detachable Elevating Legrest (Special Coverage Instructions Apply. See Cim: 60-9)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$579.04 / $810.45 / $810.45
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$200.00 / $200.00 / $200.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$170.00 / $200.00 / $206.00
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$200.00 / $200.00 / $200.00
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$200.00 / $200.00 / $206.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.15 / $678.67 / $1,017.87