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Vermont rates for HCPCS E1250

Lightweight Wheelchair Fixed Full Length Arms Swing Away Detachable Footrest (Not Valid For Medicare)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$383.11 / $491.52 / $491.52
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
$289.14 / $569.14 / $722.84