go back

Vermont rates for HCPCS E1280

Heavy Duty Wheelchair Detachable Arms (Desk Or Full Length) Elevating Legrests (Special Coverage Instructions Apply. See Cim: 60-9)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$771.01 / $1,032.59 / $1,032.59
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$511.03 / $511.03 / $511.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$434.38 / $511.03 / $526.36
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$511.03 / $511.03 / $511.03
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$511.03 / $511.03 / $526.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$518.61 / $864.59 / $1,296.52